| Abksw Central Texas Preferred Health Partners Pllc | |
|
1305 W 34th St Ste 204 Austin TX 78705-1922 | |
| (737) 285-3770 | |
| Not Available |
| Full Name | Abksw Central Texas Preferred Health Partners Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1305 W 34th St Ste 204, Austin, Texas |
| Authorized Official Name and Position | Raymon Aggarwal (MANAGING PARTNER) |
| Authorized Official Contact | 2148234800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abksw Central Texas Preferred Health Partners Pllc 3417 Gaston Ave Ste 700 Dallas TX 75246-2031 Ph: (972) 993-5000 | Abksw Central Texas Preferred Health Partners Pllc 1305 W 34th St Ste 204 Austin TX 78705-1922 Ph: (737) 285-3770 |
| NPI Number | 1679206692 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/07/2022 |
| Medicare PECOS PAC ID | 1254712060 |
|---|---|
| Medicare Enrollment ID | O20220725001938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679206692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Emmanuel John Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821163122 PECOS PAC ID: 8729184171 Enrollment ID: I20070502000285 |
| Provider Name | James C Marroquin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902014392 PECOS PAC ID: 4183781370 Enrollment ID: I20090313000471 |
| Provider Name | Raymon Kumar Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821007279 PECOS PAC ID: 1951439678 Enrollment ID: I20100517000415 |
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