Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | S4299 | TX |
NPI | 1013302181 |
---|---|
Provider Name | Dr. Cody Joseph Estler |
First Address | Austin, TX 78704-6903 |
Second Address | Austin, TX 78704-6903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2015 |
Last Update Date | 15/01/2022 |