Provider Demographics
NPI:1285872143
Name:VACHRIS, TIMOTHY PATRICK (MD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:PATRICK
Last Name:VACHRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 RED RIVER ST.
Mailing Address - Street 2:SUITE 201 TEXAS SPORTS & FAMILY MEDICINE
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2655
Mailing Address - Country:US
Mailing Address - Phone:512-473-0201
Mailing Address - Fax:512-473-0202
Practice Address - Street 1:3200 RED RIVER ST.
Practice Address - Street 2:SUITE 201 TEXAS SPORTS & FAMILY MEDICINE
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2655
Practice Address - Country:US
Practice Address - Phone:512-473-0201
Practice Address - Fax:512-473-0202
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4175207QS0010X
CAA10471207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine