Provider Demographics
NPI:1467846782
Name:MOMMS, PA
Entity Type:Organization
Organization Name:MOMMS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:GARFIELD
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-219-0990
Mailing Address - Street 1:8700 MANCHACA RD
Mailing Address - Street 2:BUILDING 1, SUITE 104
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5371
Mailing Address - Country:US
Mailing Address - Phone:512-219-0990
Mailing Address - Fax:512-474-1839
Practice Address - Street 1:8700 MANCHACA RD
Practice Address - Street 2:BUILDING 1, SUITE 104
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5371
Practice Address - Country:US
Practice Address - Phone:512-219-0990
Practice Address - Fax:512-474-1839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction MedicineGroup - Multi-Specialty