Provider Demographics
NPI:1356608244
Name:MEDSPRING OF TEXAS, PA
Entity type:Organization
Organization Name:MEDSPRING OF TEXAS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:KADERLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-765-9003
Mailing Address - Street 1:3711 S MOPAC EXPWY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-8014
Mailing Address - Country:US
Mailing Address - Phone:888-980-0505
Mailing Address - Fax:512-485-7393
Practice Address - Street 1:11521 N FM 620
Practice Address - Street 2:STE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-1139
Practice Address - Country:US
Practice Address - Phone:512-402-6830
Practice Address - Fax:512-485-7393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care