| Austin Adult Primary Care | |
|
5301 W Duval Rd Suite A-500 Austin TX 78727-6618 | |
| (512) 222-0000 | |
| Not Available |
| Full Name | Austin Adult Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5301 W Duval Rd, Austin, Texas |
| Authorized Official Name and Position | Marc Albert Ibanez (PRESIDENT) |
| Authorized Official Contact | 5122220000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Adult Primary Care Po Box 170999 Austin TX 78717-0038 Ph: (512) 222-0000 | Austin Adult Primary Care 5301 W Duval Rd Suite A-500 Austin TX 78727-6618 Ph: (512) 222-0000 |
| NPI Number | 1629383054 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 02/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629383054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M4188 (Texas) | Primary |
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