Provider Demographics
NPI:1497788707
Name:CENTRAL TEXAS HOSPITALISTS, P.A.
Entity Type:Organization
Organization Name:CENTRAL TEXAS HOSPITALISTS, P.A.
Other - Org Name:CENTRAL TEXAS HOSPITALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:QUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-341-1258
Mailing Address - Street 1:PO BOX 2748
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78299-2748
Mailing Address - Country:US
Mailing Address - Phone:512-341-1258
Mailing Address - Fax:512-323-5287
Practice Address - Street 1:2400 ROUND ROCK AVE
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4004
Practice Address - Country:US
Practice Address - Phone:512-341-1258
Practice Address - Fax:512-323-5287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0022MGOtherBCBS GROUP
TXDD1384OtherRAILROAD MEDICARE GROUP
TXDD1384OtherRAILROAD MEDICARE GROUP
TX00896XMedicare ID - Type UnspecifiedMEDICARE GROUP