| Adult Care Of Austin Pa | |
|
7201 Manchaca Rd Ste B Austin TX 78745-5259 | |
| (512) 443-3577 | |
| Not Available |
| Full Name | Adult Care Of Austin Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7201 Manchaca Rd Ste B, Austin, Texas |
| Authorized Official Name and Position | Allen Sonstein (GENERAL PARTNER) |
| Authorized Official Contact | 5124433577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Care Of Austin Pa 7201 Manchaca Rd Ste B Austin TX 78745-5259 Ph: (512) 443-3577 | Adult Care Of Austin Pa 7201 Manchaca Rd Ste B Austin TX 78745-5259 Ph: (512) 443-3577 |
| NPI Number | 1619982147 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 07/02/2010 |
| Medicare PECOS PAC ID | 3173519972 |
|---|---|
| Medicare Enrollment ID | O20040426000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619982147 | NPI | - | NPPES |
| 083536501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Allen Sonstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831194489 PECOS PAC ID: 8426152208 Enrollment ID: I20100727000074 |
| Provider Name | Steven B Dobberfuhl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932105400 PECOS PAC ID: 1951434075 Enrollment ID: I20100727000092 |
| Provider Name | Jamie Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073167763 PECOS PAC ID: 6507194511 Enrollment ID: I20190828001689 |
| Provider Name | Lisa Daniele Bouillion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437617719 PECOS PAC ID: 9133451842 Enrollment ID: I20191030001410 |
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