Provider Demographics
NPI:1063436152
Name:PIRWITZ, MARK J (MD, FACC)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:J
Last Name:PIRWITZ
Suffix:
Gender:M
Credentials:MD, FACC
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Mailing Address - Street 1:1400 N IH 35
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1926
Mailing Address - Country:US
Mailing Address - Phone:512-324-8300
Mailing Address - Fax:512-324-8301
Practice Address - Street 1:1301 W 38TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1000
Practice Address - Country:US
Practice Address - Phone:512-324-3440
Practice Address - Fax:512-406-6513
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2014-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH8328207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128400210Medicaid
TX8CN827OtherBCBSTX
TX128400209Medicaid
TX8ET167OtherBCBS
TX128400208Medicaid
TX128400211Medicaid
TX128400210Medicaid
TX128400209Medicaid
TX128400211Medicaid
TX128400208Medicaid
TX328502YL9XMedicare PIN