| Austin Endocrine | |
|
4007 James Casey A230 Austin TX 78745 | |
| (512) 445-2833 | |
| (512) 445-4121 |
| Full Name | Austin Endocrine |
|---|---|
| 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 |
|---|---|
| Austin Endocrine 4007 James Casey A230 Austin TX 78745 Ph: (512) 445-2833 | Austin Endocrine 4007 James Casey A230 Austin TX 78745 Ph: (512) 445-2833 |
| NPI Number | 1740228717 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 11/09/2007 |
| Medicare PECOS PAC ID | 3971542259 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376582718 PECOS PAC ID: 2062451347 Enrollment ID: I20050426001260 |
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