Provider Demographics
NPI:1649232489
Name:RIGNEY, CHASE RENE (PA-C)
Entity Type:Individual
Prefix:MR
First Name:CHASE
Middle Name:RENE
Last Name:RIGNEY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 BARBARA JORDAN BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-3077
Mailing Address - Country:US
Mailing Address - Phone:512-628-1850
Mailing Address - Fax:512-628-1851
Practice Address - Street 1:1301 BARBARA JORDAN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3077
Practice Address - Country:US
Practice Address - Phone:512-628-1851
Practice Address - Fax:512-628-1851
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02737363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N9126OtherBLUE SHIELD
TXP00269376OtherRR/MEDICARE
TXP00269376OtherRR/MEDICARE
TX8G0845Medicare ID - Type Unspecified