| Bee Caves Family Practice | |
|
1008 Ranch Road 620 S Ste 200 Lakeway TX 78734-5633 | |
| (512) 263-9072 | |
| (512) 402-9057 |
| Full Name | Bee Caves Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1008 Ranch Road 620 S Ste 200, Lakeway, Texas |
| Authorized Official Name and Position | Daniel Freeland (OWNER) |
| Authorized Official Contact | 5122639072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bee Caves Family Practice 1008 Ranch Road 620 S Ste 200 Lakeway TX 78734-5633 Ph: (512) 263-9072 | Bee Caves Family Practice 1008 Ranch Road 620 S Ste 200 Lakeway TX 78734-5633 Ph: (512) 263-9072 |
| NPI Number | 1639288996 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 04/22/2020 |
| Medicare PECOS PAC ID | 5496857591 |
|---|---|
| Medicare Enrollment ID | O20070220000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639288996 | NPI | - | NPPES |
| 0052NW | Other | TX | BCBS |
| 0031RG | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H9590 (Texas) | Primary |
| Provider Name | Edward G Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629254461 PECOS PAC ID: 1355580549 Enrollment ID: I20151117003072 |
| Provider Name | Hong-phuc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043966245 PECOS PAC ID: 2769861988 Enrollment ID: I20220617002544 |
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