NPI 1104000983

Theophilus S Painter Jr MD PA

Organisation Allergy & Immunology Physician Austin, TX

Practice location

Address: 800 W 34th St, Austin, TX 78705-1143
Phone: (512) 454-5821
Fax: (512) 260-8831
Mailing address: PO Box 302186, Austin, TX 78703-0037

Authorised official

Name: Jane Gatlin
Title: Billing Mgr
Phone: (512) 259-9595

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence B9692 (TX)

Other Allergy & Immunology providers in Texas →

Registry record

NPI: 1104000983
Entity type: Organization
NPI issued: 28 Dec 2007
Record last updated: 28 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.