Provider Demographics
NPI:1922505601
Name:HOSPITAL INTERNISTS OF TEXAS CLINIC, PLLC
Entity Type:Organization
Organization Name:HOSPITAL INTERNISTS OF TEXAS CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MILEUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-477-1405
Mailing Address - Street 1:2911 MEDICAL ARTS STREET
Mailing Address - Street 2:BUILDING 10
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705
Mailing Address - Country:US
Mailing Address - Phone:512-477-1405
Mailing Address - Fax:512-477-1220
Practice Address - Street 1:2911 MEDICAL ARTS STREET
Practice Address - Street 2:BUILDING 10
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-477-1405
Practice Address - Fax:512-477-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-10
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty