Provider Demographics
NPI:1487100673
Name:DRIPPING SPRINGS HEALTHCARE PLLC
Entity type:Organization
Organization Name:DRIPPING SPRINGS HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:512-853-0777
Mailing Address - Street 1:13830 SAWYER RANCH RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-5513
Mailing Address - Country:US
Mailing Address - Phone:512-853-0777
Mailing Address - Fax:512-597-2460
Practice Address - Street 1:13830 SAWYER RANCH RD
Practice Address - Street 2:SUITE 301
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5513
Practice Address - Country:US
Practice Address - Phone:512-853-0777
Practice Address - Fax:512-597-2460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty