| Neurology Clinic Pa | |
|
601 W 17th St Austin TX 78701-1103 | |
| (512) 708-9200 | |
| (512) 532-6261 |
| Full Name | Neurology Clinic Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 601 W 17th St, Austin, Texas |
| Authorized Official Name and Position | Rebecca M Verellen (PRESIDENT) |
| Authorized Official Contact | 5124582600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Clinic Pa 601 W 17th St Austin TX 78701-1103 Ph: (512) 708-9200 | Neurology Clinic Pa 601 W 17th St Austin TX 78701-1103 Ph: (512) 708-9200 |
| NPI Number | 1699190876 |
|---|---|
| Provider Enumeration Date | 02/25/2014 |
| Last Update Date | 02/25/2014 |
| Medicare PECOS PAC ID | 6800016551 |
|---|---|
| Medicare Enrollment ID | O20141001002484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699190876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
| Provider Name | Rebecca Marie Verellen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336329903 PECOS PAC ID: 8426296542 Enrollment ID: I20130531000480 |
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