| North West Austin Family Dentistry | |
|
9222 W Parmer Ln Austin TX 78717-4676 | |
| (512) 363-5222 | |
| Not Available |
| Full Name | North West Austin Family Dentistry |
|---|---|
| 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 |
|---|---|
| North West Austin Family Dentistry 9222 W Parmer Ln Austin TX 78717-4676 Ph: (512) 363-5222 | North West Austin Family Dentistry 9222 W Parmer Ln Austin TX 78717-4676 Ph: (512) 363-5222 |
| NPI Number | 1730773516 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 03/04/2021 |
| Medicare PECOS PAC ID | 3971910167 |
|---|---|
| Medicare Enrollment ID | O20210406001790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730773516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Rajashree Prasad |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245769454 PECOS PAC ID: 6507273794 Enrollment ID: I20210406001952 |
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