Provider Demographics
NPI:1285679431
Name:TSCHOPP, DAVID R JR (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:TSCHOPP
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W. 38TH STREET, SUITE 110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705
Mailing Address - Country:US
Mailing Address - Phone:512-421-3869
Mailing Address - Fax:512-407-1873
Practice Address - Street 1:900 W. 38TH STREET, SUITE 110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-421-3869
Practice Address - Fax:512-407-1873
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3772207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH16413Medicare UPIN
TX8G5890Medicare PIN
TXTXB107509Medicare PIN