RN POONAWALA PA NPI 1477650042

NPI Information

RN POONAWALA PA is a specialist in Austin, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RN POONAWALA PA NPI is 1477650042. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4007 JAMES CASEY ST
SUITE D240
AUSTIN, TX
ZIP 78745-182
Phone: (512) 440-8989
Fax: (512) 440-0299

The provider's authorized official is Robina N Poonawala .
The authorized official title is President and has the following contact phone number (512) 440-8989.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 5/7/2008.

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:

Other Identifiers

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

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