Individual
DR. FOTINI MARIA CHALKIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2608 BROCKTON DR, AUSTIN, TX 78758-4414
(512) 654-4050
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 944-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M5092
TX
207UN0901X
Nuclear Cardiology Physician
M5092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185786405
—
TX
05
—
185786406
—
TX
05
—
185786407
—
TX
05
—
185786408
—
TX
01
—
8CU861
BCBS
TX
01
—
8ET189
BCBS
TX
01
—
P01040680
RAILROAD MEDICARE
TX
Enumeration date
09/20/2006
Last updated
03/21/2023
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