Individual
ELISABETH SUSANNE CHODL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(512) 324-8300
Mailing address
1500 S LAMAR BLVD APT 1040, AUSTIN, TX 78704-2942
(269) 303-9395
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12467
TX
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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