Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | H8328 | TX |
Y | 207RI0011X | Interventional Cardiology | H8328 | TX |
NPI | 1063436152 |
---|---|
Provider Name | Mark J Pirwitz |
First Address | Austin, TX 78701-1926 |
Second Address | Austin, TX 78705-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 12/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
128400208 | (05) | TX |
128400209 | (05) | TX |
128400210 | (05) | TX |
128400211 | (05) | TX |
8CN827 | BCBSTX (01) | TX |
8ET167 | BCBS (01) | TX |
F42578 | (02) |