Provider Demographics
NPI:1578222543
Name:MEDICAL ARTS FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:MEDICAL ARTS FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:DEVOS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:512-692-4010
Mailing Address - Street 1:4201 EDGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-5717
Mailing Address - Country:US
Mailing Address - Phone:512-524-3933
Mailing Address - Fax:512-524-9329
Practice Address - Street 1:1305 W 34TH ST STE 407
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1903
Practice Address - Country:US
Practice Address - Phone:512-524-3933
Practice Address - Fax:512-524-9329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty