Individual
LIZA CHABOKROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD STE K1, AUSTIN, TX 78759-8600
(512) 394-5108
(512) 394-5109
Mailing address
PO BOX 91674, AUSTIN, TX 78709-1674
(512) 394-5108
(512) 394-5109
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1901
TX
213EP0504X
Public Medicine Podiatrist
Primary
1901
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
1901
TX
213ER0200X
Radiology Podiatrist
1901
TX
213ES0000X
Sports Medicine Podiatrist
1901
TX
213ES0131X
Foot Surgery Podiatrist
1901
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A5634
GROUP PTAN
TX
05
—
2129157
—
TX
05
—
2129181
—
TX
01
—
DQ3405
MEDICARE RAILROAD
TX
01
—
P00838858
MEDICARE RAILROAD
TX
Enumeration date
11/13/2007
Last updated
06/12/2024
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