Craig Thomas De Waal, MD | |
1201 W 38th St, Austin, TX 78705-1006 | |
(512) 324-1000 | |
Not Available |
Full Name | Craig Thomas De Waal |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1201 W 38th St, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235226721 | NPI | - | NPPES |
184866507 | Medicaid | TX | |
184866501 | Medicaid | TX | |
8W9493 | Other | TX | BCBS |
8K8349 | Other | TX | BCBS |
8V5765 | Other | TX | BCBS |
184866504 | Medicaid | TX | |
8S1819 | Other | TX | BCBS |
8X7452 | Other | TX | BCBS |
184866502 | Medicaid | TX | |
184866503 | Other | TX | CSHCN |
184866505 | Other | TX | CSHCN |
184866506 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M5683 (Texas) | Primary |
Entity Name | Round Table Physicians Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023439114 PECOS PAC ID: 0547682460 Enrollment ID: O20200623002513 |
Mailing Address | Practice Location Address |
---|---|
Craig Thomas De Waal, MD 6300 La Calma Dr, Suite 200, Austin, TX 78752-3843 Ph: (512) 452-8533 | Craig Thomas De Waal, MD 1201 W 38th St, Austin, TX 78705-1006 Ph: (512) 324-1000 |
Dr. Suprina Dorai, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8721 Menchaca Rd, Austin, TX 78748 Phone: 512-280-6959 | |
Nicole Maree Hotchkiss, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6300 La Calma Dr Ste 200, Austin, TX 78752 Phone: 512-452-8533 | |
Dr. Gurpreet Basraon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12201 Renfert Way Ste 105, Austin, TX 78758 Phone: 877-800-5722 | |
Kimberly Snyder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12221 N. Mopac Expressway, Austin, TX 78758 Phone: 512-901-1000 | |
Rex E. Medford, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Ronald S. Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Eric A Higginbotham, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8611 N Mopac Expy # 300, Austin, TX 78759 Phone: 737-220-8200 |