Reliant Md Medical Associates Pllc | |
6500 River Place Blvd Bldg 4 Ste 102 Austin TX 78730-1109 | |
(512) 717-8391 | |
(469) 340-0657 |
Full Name | Reliant Md Medical Associates Pllc |
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Speciality | Family Medicine |
Location | 6500 River Place Blvd, Austin, Texas |
Authorized Official Name and Position | Miranda Skaggs (PRACTICE MANAGER) |
Authorized Official Contact | 2547600283 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Reliant Md Medical Associates Pllc 6500 River Place Blvd Bldg 4 Ste 102 Austin TX 78730-1109 Ph: (607) 434-2102 | Reliant Md Medical Associates Pllc 6500 River Place Blvd Bldg 4 Ste 102 Austin TX 78730-1109 Ph: (512) 717-8391 |
NPI Number | 1952865495 |
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Provider Enumeration Date | 01/29/2019 |
Last Update Date | 12/23/2022 |
Certification Date | 12/23/2022 |
Medicare PECOS PAC ID | 2466871207 |
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Medicare Enrollment ID | O20200929001482 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952865495 | NPI | - | NPPES |
1669464723 | Other | TX | NPI |
Provider Name | Ann Black |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750329801 PECOS PAC ID: 3476562257 Enrollment ID: I20060406000606 |
Provider Name | Henry J Legere |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1669464723 PECOS PAC ID: 0749344141 Enrollment ID: I20100812000367 |
Provider Name | Kelli Renee White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538304266 PECOS PAC ID: 8729269998 Enrollment ID: I20110221000814 |
Provider Name | Tomi Garza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568936748 PECOS PAC ID: 4082033055 Enrollment ID: I20200925000474 |
Provider Name | Natasha Pervez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487030615 PECOS PAC ID: 8628498029 Enrollment ID: I20201026000107 |
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