| |
10900 Research Blvd Ste 140c Austin TX 78759-5774 | |
(512) 645-0818 | |
(512) 645-0646 |
Full Name | |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 10900 Research Blvd Ste 140c, Austin, Texas |
Authorized Official Name and Position | Chadwick Rhett Denman (PRESIDENT/OWNER) |
Authorized Official Contact | 5126450818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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10900 Research Blvd Ste 160c #78 Austin TX 78759-5718 Ph: (512) 417-2001 | 10900 Research Blvd Ste 140c Austin TX 78759-5774 Ph: (512) 645-0818 |
NPI Number | 1639689441 |
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Provider Enumeration Date | 10/06/2017 |
Last Update Date | 12/12/2024 |
Medicare PECOS PAC ID | 0244586105 |
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Medicare Enrollment ID | O20180706001255 |
Identifier | Type | State | Issuer |
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1639689441 | NPI | - | NPPES |
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