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249 Sportsplex Dr. Suite 204 Dripping Springs TX 78620-2350 | |
(512) 324-9570 | |
(512) 324-9573 |
Full Name | |
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Speciality | Clinic/Center |
Location | 249 Sportsplex Dr., Dripping Springs, Texas |
Authorized Official Name and Position | William Davis (PRESIDENT & CEO) |
Authorized Official Contact | 5123241861 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1345 Philomena St. Austin TX 78723-3185 Ph: (512) 324-1000 | 249 Sportsplex Dr. Suite 204 Dripping Springs TX 78620-2350 Ph: (512) 324-9570 |
NPI Number | 1346862752 |
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Provider Enumeration Date | 05/08/2020 |
Last Update Date | 05/24/2021 |
Medicare PECOS PAC ID | 5193634293 |
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Medicare Enrollment ID | O20210105001888 |
Identifier | Type | State | Issuer |
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1346862752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lewis Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13830 Sawyer Ranch Rd, Ste 102, Dripping Springs, TX 78620 Phone: 512-301-6400 Fax: 512-301-6401 | |
Faith Holmes.m.d. & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 W Highway 290, Suite A, Dripping Springs, TX 78620 Phone: 512-858-2818 | |
Tnd Holdings, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13830 Sawyer Ranch Rd Ste 303, Dripping Springs, TX 78620 Phone: 512-382-9381 Fax: 512-532-6689 |