Doctor Name: | MRS. MARIE L. LITSCHEWSKI |
NPI Number: | 1043497720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA05598 |
Business Practice Address: | 351 Cypress Creek Rd Suite 201 Cedar Park, TX - 786134528 |
Business Phone Number: | 5124167246 |
Business Fax Number: | 5122752833 |
Mailing Address: | 2501 W William Cannon Dr, Suite 401 AUSTIN |
State: | TX |
Postal Code: | 787455281 |
Phone Number: | 5124167246 |
Fax Number: | 5122752833 |
NPI Enumeration Date: | 01/25/2008 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA05598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |