| Austin City Family Practice Pllc | |
|
1907 E 13th St Austin TX 78702-2109 | |
| (210) 988-5561 | |
| Not Available |
| Full Name | Austin City Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1907 E 13th St, Austin, Texas |
| Authorized Official Name and Position | Peter Goldstein (OWNER) |
| Authorized Official Contact | 2108453712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin City Family Practice Pllc 1907 E 13th St Austin TX 78702-2109 Ph: (210) 988-5561 | Austin City Family Practice Pllc 1907 E 13th St Austin TX 78702-2109 Ph: (210) 988-5561 |
| NPI Number | 1770241192 |
|---|---|
| Provider Enumeration Date | 12/02/2021 |
| Last Update Date | 12/02/2021 |
| Medicare PECOS PAC ID | 8527444090 |
|---|---|
| Medicare Enrollment ID | O20221006001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770241192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Peter Goldstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154567980 PECOS PAC ID: 2365411600 Enrollment ID: I20090327000541 |
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