Madeleine G. Cody | Austin, TX • PECOS Search

Madeleine G. Cody

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

10815 Rr 2222, Bldg 3a, Austin, TX 78730-1159

(512) 327-4262 (405) 990-6640

PECOS Enrollment

Based on the most recent information from CMS, provider Madeleine G. Cody does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1285850727
Provider Type
Individual
Full Name
Cody, Madeleine G.
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/17/2007
Last Updated
9/21/2016

Contact Information

Practice Location

10815 Rr 2222, Bldg 3a, Austin, TX 78730-1159

Unlisted Fax

Mailing Location

5708 Highland Hills Dr, Austin, TX 78731-4233

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA05587 Texas