Mrs Sussann Grace Kotara, MD | |
3501 Mills Ave, Austin, TX 78731-6309 | |
(210) 865-7776 | |
Not Available |
Full Name | Mrs Sussann Grace Kotara |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 15 Years |
Location | 3501 Mills Ave, Austin, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588899041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | BP1-0035463 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Seton Medical Center Austin | Austin, TX | Hospital |
Dell Seton Med Center At The University Of Tx | Austin, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-county Clinical | 1153502869 | 33 |
Entity Name | The University Of Texas At Austin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073066239 PECOS PAC ID: 2668559436 Enrollment ID: O20080408000293 |
Entity Name | Tri-county Clinical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336456227 PECOS PAC ID: 1153502869 Enrollment ID: O20110228000657 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sussann Grace Kotara, MD 3501 Mills Ave, Austin, TX 78731-6309 Ph: (210) 865-7776 | Mrs Sussann Grace Kotara, MD 3501 Mills Ave, Austin, TX 78731-6309 Ph: (210) 865-7776 |
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