Provider Demographics
NPI:1417174921
Name:MARGOLIN AND KEINARTH, PA
Entity Type:Organization
Organization Name:MARGOLIN AND KEINARTH, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:KEINARTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-459-9889
Mailing Address - Street 1:5222 BURNET RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-2430
Mailing Address - Country:US
Mailing Address - Phone:512-459-9889
Mailing Address - Fax:512-459-7373
Practice Address - Street 1:5222 BURNET RD
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-2430
Practice Address - Country:US
Practice Address - Phone:512-459-9889
Practice Address - Fax:512-459-7373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F1441OtherKEINARTH BCBS
TX8F1440OtherMARGOLIN BCBS
TX8F1441OtherKEINARTH BCBS