1952475212 NPI number — TEXAS BONE & JOINT INSTITUTE

Table of content: DR. NATHANIEL PRENTICE MILLS PH.D. (NPI 1225261340)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952475212 NPI number — TEXAS BONE & JOINT INSTITUTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS BONE & JOINT INSTITUTE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952475212
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5656 BEE CAVES RD
Provider Second Line Business Mailing Address:
SUITE F200
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78746-5280
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-329-9393
Provider Business Mailing Address Fax Number:
512-329-6420

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5656 BEE CAVES RD
Provider Second Line Business Practice Location Address:
SUITE F200
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78746-5280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-329-9393
Provider Business Practice Location Address Fax Number:
512-329-6420
Provider Enumeration Date:
11/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHOCH
Authorized Official First Name:
EUGENE
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
512-329-9380

Provider Taxonomy Codes

  • Taxonomy code: 207XX0005X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: E2849 . This is a "DR EUGENE SCHOCH LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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