Theophilus Shickel Painter JR. MD

NPI 1073629929 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1073629929
Gender Male
Enumeration Date 08/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
800 W 34TH ST
STE 201
AUSTIN TX, 78705, US
Phone (512) 454-5821
Fax (512) 459-9137
Business Location
800 W 34TH ST
STE 201
AUSTIN TX, 78705, US
Phone (512) 454-5821
Fax (512) 459-9137
Toxanomy
Taxonomy Code 207K00000X
License State Texas
License Number B9692
Remove 1073629929 NPI Number
 

According to our database, Dr. Theophilus Shickel Painter JR. MD NPI is 1073629929, taxonomy code is 207K00000X and license number is B9692, license state is located at Texas. Theophilus Shickel Painter JR. MD physically located at 800 W 34th St, Austin TX, 78705. NPI Number Theophilus Shickel Painter JR. MD has the Individual type.

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1073629929 NPI number is provided on an as is basis without warranty of any kind. 1073629929 is maintained by the National Plan & Provider Enumeration System. The contents of Theophilus Shickel Painter JR. MD are for informational purposes only.