Provider Demographics
NPI:1962689950
Name:E DAVID PAMPE, M.D.
Entity Type:Organization
Organization Name:E DAVID PAMPE, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:PAMPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-892-6441
Mailing Address - Street 1:6012 WEST WILLIAM CANNON DR STE D101
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1979
Mailing Address - Country:US
Mailing Address - Phone:512-892-6441
Mailing Address - Fax:512-892-4154
Practice Address - Street 1:6012 WEST WILLIAM CANNON DR STE D101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1979
Practice Address - Country:US
Practice Address - Phone:512-892-6441
Practice Address - Fax:512-892-4154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25358Medicare UPIN
TX0007AXMedicare PIN