Organization
DWT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHUTICH (ADMINISTRATIVE ASSISTANT)
(512) 615-6224
Entity
Organization
Contact information
Practice address
1301 W 38TH ST, SUITE 705, AUSTIN, TX 78705-1000
(512) 617-6000
Mailing address
5301 RIATA PARK COURT, BLDG. D, STE. 200, AUSTIN, TX 78727-3438
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
11/11/2009
Last updated
10/15/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up