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9222 W Parmer Ln Austin TX 78717-4676 | |
(512) 363-5222 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 9222 W Parmer Ln, Austin, Texas |
Authorized Official Name and Position | Rajashree Prasad (PRESIDENT) |
Authorized Official Contact | 4085071287 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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9222 W Parmer Ln Austin TX 78717-4676 Ph: (512) 363-5222 | 9222 W Parmer Ln Austin TX 78717-4676 Ph: (512) 363-5222 |
NPI Number | 1730773516 |
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Provider Enumeration Date | 02/23/2021 |
Last Update Date | 03/04/2021 |
Medicare PECOS PAC ID | 3971910167 |
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Medicare Enrollment ID | O20210406001790 |
Identifier | Type | State | Issuer |
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1730773516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Rajashree Prasad |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1245769454 PECOS PAC ID: 6507273794 Enrollment ID: I20210406001952 |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |