| James Ralph Korndorffer Jr, MD | |
|
1601 Trinity St, Austin, TX 78712-1765 | |
| (833) 882-2737 | |
| Not Available |
| Full Name | James Ralph Korndorffer Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1601 Trinity St, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346333655 | NPI | - | NPPES |
| 1061409 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | G151411 (California) | Secondary |
| 208600000X | Surgery | 15058R (Louisiana) | Secondary |
| 208600000X | Surgery | V5790 (Texas) | Primary |
| Entity Name | Administrators Of The Tulane Educational Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
| Mailing Address | Practice Location Address |
|---|---|
| James Ralph Korndorffer Jr, MD 1601 Trinity St Stop Z0200, Austin, TX 78712-1850 Ph: () - | James Ralph Korndorffer Jr, MD 1601 Trinity St, Austin, TX 78712-1765 Ph: (833) 882-2737 |
Julie Mckenzie Sprunt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 W 38th St Ste 300, Austin, TX 78705 Phone: 512-421-4100 Fax: 512-419-0924 | |
Adriana Elisa Castro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11615 Angus Rd Ste 106, Austin, TX 78759 Phone: 512-630-0070 Fax: 512-436-8295 | |
Kevin P O'farrell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6811 Austin Center Blvd # 300, Austin, TX 78731 Phone: 512-344-0368 Fax: 512-344-0335 | |
Mark Raymond Lindsey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3901 Medical Pkwy, Suite 200, Austin, TX 78756 Phone: 512-467-7151 Fax: 512-467-8809 | |
Jose L Bravo, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 313 E 12th St Ste 100, Austin, TX 78701 Phone: 512-324-8960 Fax: 512-324-8962 | |
Kaylyn Barrett, Surgery Medicare: Medicare Enrolled Practice Location: 1501 Red River St Fl 2, Austin, TX 78712 Phone: 512-495-5555 | |
Charlie P Ross, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2911 Medical Arts St, Bldg 2 Attn: Austin Surgical Clinic Assn, Austin, TX 78705 Phone: 512-478-3402 Fax: 512-478-7114 |