Provider Demographics
NPI:1144415803
Name:AUSTEX PEDIATRICS
Entity Type:Organization
Organization Name:AUSTEX PEDIATRICS
Other - Org Name:WILLIAM D. CALDWELL MD PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSELS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-454-0406
Mailing Address - Street 1:1305 W 34TH ST STE 210
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1922
Mailing Address - Country:US
Mailing Address - Phone:512-454-0406
Mailing Address - Fax:512-454-4380
Practice Address - Street 1:1305 W 34TH ST STE 210
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1922
Practice Address - Country:US
Practice Address - Phone:512-454-0406
Practice Address - Fax:512-454-4380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9138208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty