| Chudleigh Pa | |
|
7620 Deer Run Leander/volente TX 78641 | |
| (512) 452-2100 | |
| (855) 346-7410 |
| Full Name | Chudleigh Pa |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |