Organization
JOE T. POWELL, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE THOMAS POWELL M.D. (OWNER/PHYSICIAN)
(512) 452-5768
Entity
Organization
Contact information
Practice address
3705 MEDICAL PKWY STE 440, AUSTIN, TX 78705-1023
(512) 452-5768
(512) 452-5776
Mailing address
3705 MEDICAL PKWY STE 440, AUSTIN, TX 78705-1023
(512) 452-5768
(512) 452-5776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D4269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177154000
US DEPARTMENT OF LABOR
TX
Enumeration date
08/20/2008
Last updated
06/23/2010
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