Theophilus S Painter Jr MD PA

NPI #1104000983 in Austin, Texas

Provider Information

NPI Number: 1104000983
Entity Type: Organization
Organization Name: Theophilus S Painter Jr MD PA
Primary Specialty: Allergy & Immunology
Enumeration Date: Dec 28, 2007
Last Updated: Dec 28, 2007

Practice Location

Address: 800 W 34TH ST
City: Austin
State: Texas
ZIP Code: 78705-1143
Phone: (512) 454-5821

Authorized Official

Name: JANE GATLIN
Title: BILLING MGR
Phone: (512) 259-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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