Austin Epilepsy Care Center | |
2200 Park Bend Dr Bldg 2 Ste 203 Austin TX 78758-5387 | |
(512) 339-8831 | |
(512) 339-8841 |
Full Name | Austin Epilepsy Care Center |
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Speciality | Psychiatry & Neurology |
Location | 2200 Park Bend Dr, Austin, Texas |
Authorized Official Name and Position | Sami M Aboumatar (OWNER) |
Authorized Official Contact | 5123398831 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Austin Epilepsy Care Center 2200 Park Bend Dr Bldg 2 Ste 203 Austin TX 78758-5387 Ph: (512) 339-8831 | Austin Epilepsy Care Center 2200 Park Bend Dr Bldg 2 Ste 203 Austin TX 78758-5387 Ph: (512) 339-8831 |
NPI Number | 1801825716 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 11/15/2007 |
Medicare PECOS PAC ID | 1052218088 |
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Medicare Enrollment ID | O20031217000472 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801825716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | L6748 (Texas) | Primary |
Provider Name | Sami Aboumatar |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1760445407 PECOS PAC ID: 0648177675 Enrollment ID: I20031217000716 |
Provider Name | Nabil J Azar |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1972644391 PECOS PAC ID: 8325131675 Enrollment ID: I20181119000173 |
Provider Name | Victor H Gonzalez Montoya |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1245467638 PECOS PAC ID: 0749420057 Enrollment ID: I20211222000762 |
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