Doctor Name: | WALTER F CHASE |
NPI Number: | 1013997758 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G2344 |
Business Practice Address: | 1301 W 38th St Suite 601 Austin, TX - 787051000 |
Business Phone Number: | 5124545171 |
Business Fax Number: | |
Mailing Address: | 1301 W 38th St, Suite 601 AUSTIN |
State: | TX |
Postal Code: | 787051000 |
Phone Number: | 5124545171 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2006 |
NPI Last Update Date: | 10/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G2344 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |