Provider Demographics
NPI:1225268261
Name:HAFEMEISTER, ADAM CHRISTOPHER (MD)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:CHRISTOPHER
Last Name:HAFEMEISTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 10597
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78766-1597
Mailing Address - Country:US
Mailing Address - Phone:512-485-5889
Mailing Address - Fax:512-420-0397
Practice Address - Street 1:4310 JAMES CASEY ST
Practice Address - Street 2:STE 4-A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1251
Practice Address - Country:US
Practice Address - Phone:512-448-4588
Practice Address - Fax:512-445-4511
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2015-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP1181207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3454761-01Medicaid
TX408641YQYYMedicare PIN