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CAPITAL MEDICAL GROUP TRUST NPI 1790725927


NPI Information

NPI: 1790725927
Provider Name: CAPITAL MEDICAL GROUP TRUST
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1301 W 38TH ST
SUITE 601
AUSTIN, TX
ZIP 78705
Phone: (512) 454-5171
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CAPITAL MEDICAL GROUP TRUST is an internal medicine in Austin, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CAPITAL MEDICAL GROUP TRUST NPI is 1790725927. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 W 38TH ST
SUITE 601
AUSTIN, TX
ZIP 78705-000
Phone: (512) 454-5171

The provider's authorized official is Peter Hager .
The authorized official title is Administrator and has the following contact phone number (512) 454-5171.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 4/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C14396MEDICARE UPINTEXAS
2F88218MEDICARE UPINTEXAS
3G67925MEDICARE UPINTEXAS
4CO9079MEDICARE PINTEXAS
500H93EMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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