| |
14101 Us 290 W Suite 400b Austin TX 78737-2445 | |
(512) 894-5050 | |
(512) 894-2201 |
Full Name | |
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Speciality | Clinic/Center |
Location | 14101 Us 290 W, Austin, Texas |
Authorized Official Name and Position | Peter Whitney-cashio (OWNER) |
Authorized Official Contact | 5128945050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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14101 Us 290 W Suite 400b Austin TX 78737-2445 Ph: (512) 894-5050 | 14101 Us 290 W Suite 400b Austin TX 78737-2445 Ph: (512) 894-5050 |
NPI Number | 1326686494 |
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Provider Enumeration Date | 12/19/2019 |
Last Update Date | 07/28/2021 |
Medicare PECOS PAC ID | 0840693818 |
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Medicare Enrollment ID | O20210728002084 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326686494 | NPI | - | NPPES |
P4397 | Other | TX | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Peter Joseph Cashio |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1649414798 PECOS PAC ID: 8729235379 Enrollment ID: I20120904000457 |
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 | |
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