Provider Demographics
NPI:1164603379
Name:WALTER F. CHASE, M.D.,P.A .RHEUMATOLOGY
Entity Type:Organization
Organization Name:WALTER F. CHASE, M.D.,P.A .RHEUMATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR, SOLE SHAREHOLDER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:F
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-451-6363
Mailing Address - Street 1:1301 W 38TH ST
Mailing Address - Street 2:SUITE#605
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1000
Mailing Address - Country:US
Mailing Address - Phone:512-451-6363
Mailing Address - Fax:512-451-2688
Practice Address - Street 1:1301 W 38TH ST
Practice Address - Street 2:SUITE#605
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1000
Practice Address - Country:US
Practice Address - Phone:512-451-6363
Practice Address - Fax:512-451-2688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2344207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty