Provider Demographics
NPI:1104149962
Name:WILLIAM C NEMETH MD, PA
Entity type:Organization
Organization Name:WILLIAM C NEMETH MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADDICTION MEDICINE
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:NEMETH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-334-2144
Mailing Address - Street 1:4534 WESTGATE BLVD STE112
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1468
Mailing Address - Country:US
Mailing Address - Phone:512-334-2144
Mailing Address - Fax:512-439-7371
Practice Address - Street 1:4534 WESTGATE BLVD STE112
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1468
Practice Address - Country:US
Practice Address - Phone:512-334-2144
Practice Address - Fax:512-439-7371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5318174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty