Basic Information
| Provider Information | |||||||||
| NPI: | 1316043888 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SZCZYTOWSKI | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7800 SHOAL CREEK BLVD SUITE 205N | ||||||||
| Address2: | AUSTIN HEART PLLC | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78757 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122064341 | ||||||||
| FaxNumber: | 5122064376 | ||||||||
| Practice Location | |||||||||
| Address1: | 2410 ROUND ROCK AVE | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | ROUND ROCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786814003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123410889 | ||||||||
| FaxNumber: | 5123417147 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2006 | ||||||||
| LastUpdateDate: | 05/13/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | L6661 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 1876674-02 | 05 | TX | MEDICAID |