| |
4007 James Casey A230 Austin TX 78745 | |
(512) 445-2833 | |
(512) 445-4121 |
Full Name | |
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Speciality | Internal Medicine |
Location | 4007 James Casey, Austin, Texas |
Authorized Official Name and Position | Steven Harry Fehrenkamp (OWNER) |
Authorized Official Contact | 5124452833 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4007 James Casey A230 Austin TX 78745 Ph: (512) 445-2833 | 4007 James Casey A230 Austin TX 78745 Ph: (512) 445-2833 |
NPI Number | 1740228717 |
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Provider Enumeration Date | 06/03/2006 |
Last Update Date | 11/09/2007 |
Medicare PECOS PAC ID | 3971542259 |
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Medicare Enrollment ID | O20050426001246 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740228717 | NPI | - | NPPES |
0063MH | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | E8463 (Texas) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | E8463 (Texas) | Primary |
Provider Name | Steven H Fehrenkamp |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1376582718 PECOS PAC ID: 2062451347 Enrollment ID: I20050426001260 |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
Julie Graves Moy Md Mph Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 | |
Edie E. Shulman M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 | |
Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Slaughter Ln, Suite 300, Austin, TX 78748 Phone: 469-277-8253 |