Provider Demographics
NPI:1285882795
Name:ADRIAN M. POLIT MD PA
Entity type:Organization
Organization Name:ADRIAN M. POLIT MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:POLIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD FFARCS
Authorized Official - Phone:830-569-3397
Mailing Address - Street 1:205 E HUNT ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-4104
Mailing Address - Country:US
Mailing Address - Phone:830-569-3397
Mailing Address - Fax:
Practice Address - Street 1:205 E HUNT ST
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-4104
Practice Address - Country:US
Practice Address - Phone:830-569-3397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00RS16OtherBLUE CROSS
TX089762101Medicaid
TXC20566Medicare UPIN
TX00RS16OtherBLUE CROSS
TX00RS16Medicare PIN