Provider Demographics
NPI:1497306880
Name:CTXER PHYSICIANS PA
Entity Type:Organization
Organization Name:CTXER PHYSICIANS PA
Other - Org Name:DOA EXPRESS ER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:PADWICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-779-0263
Mailing Address - Street 1:PO BOX 2839
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78627-2839
Mailing Address - Country:US
Mailing Address - Phone:512-635-5364
Mailing Address - Fax:737-717-4104
Practice Address - Street 1:2020 E RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-1325
Practice Address - Country:US
Practice Address - Phone:737-717-4100
Practice Address - Fax:737-717-4104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty