Chudleigh Pa | |
7620 Deer Run Leander/volente TX 78641 | |
(512) 452-2100 | |
(855) 346-7410 |
Full Name | Chudleigh Pa |
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Speciality | General Practice |
Location | 7620 Deer Run, Leander/volente, Texas |
Authorized Official Name and Position | James Painter Chudleigh (PHYSICIAN/OWNER) |
Authorized Official Contact | 5126998819 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chudleigh Pa Po Box 10807 Austin TX 78766-1807 Ph: (512) 452-2100 | Chudleigh Pa 7620 Deer Run Leander/volente TX 78641 Ph: (512) 452-2100 |
NPI Number | 1447422829 |
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Provider Enumeration Date | 03/26/2008 |
Last Update Date | 06/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447422829 | NPI | - | NPPES |
173205901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |