| Child Neurology Consultants Of Austin | |
|
6811 Austin Center Blvd Ste 400 Austin TX 78731-3157 | |
| (512) 494-4000 | |
| (512) 494-4024 |
| Full Name | Child Neurology Consultants Of Austin |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6811 Austin Center Blvd Ste 400, Austin, Texas |
| Authorized Official Name and Position | Jeffrey S. Kane (PHYSICIAN) |
| Authorized Official Contact | 5124875400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Neurology Consultants Of Austin 6811 Austin Center Blvd. Suite 400 Austin TX 78731 Ph: (512) 494-4000 | Child Neurology Consultants Of Austin 6811 Austin Center Blvd Ste 400 Austin TX 78731-3157 Ph: (512) 494-4000 |
| NPI Number | 1457729733 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 09/26/2018 |
| Medicare PECOS PAC ID | 2567762032 |
|---|---|
| Medicare Enrollment ID | O20151207000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457729733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | L1353 (Texas) | Primary |
| Provider Name | Ezam Ghodsi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275599284 PECOS PAC ID: 7911964507 Enrollment ID: I20041215000539 |
| Provider Name | Karen C Keough |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538147707 PECOS PAC ID: 0143272997 Enrollment ID: I20050221000241 |
| Provider Name | Michael S Reardon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053363366 PECOS PAC ID: 4981634540 Enrollment ID: I20050815000384 |
| Provider Name | Ruy Carrasco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063478154 PECOS PAC ID: 3779517958 Enrollment ID: I20050927000396 |
| Provider Name | Jeffrey S Kane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851343271 PECOS PAC ID: 4789776873 Enrollment ID: I20070821000294 |
| Provider Name | Toshia M Mckeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568677052 PECOS PAC ID: 2860520509 Enrollment ID: I20100517000671 |
| Provider Name | Lindsay E Elton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013119130 PECOS PAC ID: 0749304285 Enrollment ID: I20100903000837 |
| Provider Name | Dawn K Mcelvain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528371234 PECOS PAC ID: 4486838943 Enrollment ID: I20110406000945 |
| Provider Name | Dilip J. Karnik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407808900 PECOS PAC ID: 0749454809 Enrollment ID: I20111220000275 |
| Provider Name | Elizabeth M Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215217906 PECOS PAC ID: 1456514702 Enrollment ID: I20120523000544 |
| Provider Name | Jinfon Ong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326239518 PECOS PAC ID: 0941456404 Enrollment ID: I20120816000093 |
| Provider Name | Ryan A Boeck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013182955 PECOS PAC ID: 6204061716 Enrollment ID: I20131108000179 |
| Provider Name | Katherine Stacy Labiner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861788465 PECOS PAC ID: 6901160456 Enrollment ID: I20180509000084 |
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