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10828 Desert Willow Loop Austin TX 78748-4027 | |
(757) 575-3227 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 10828 Desert Willow Loop, Austin, Texas |
Authorized Official Name and Position | Joseph Berro (OWNER) |
Authorized Official Contact | 7575753227 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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10828 Desert Willow Loop Austin TX 78748-4027 Ph: (757) 575-3227 | 10828 Desert Willow Loop Austin TX 78748-4027 Ph: (757) 575-3227 |
NPI Number | 1457076119 |
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Provider Enumeration Date | 10/05/2022 |
Last Update Date | 03/27/2023 |
Medicare PECOS PAC ID | 2062880412 |
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Medicare Enrollment ID | O20221116002237 |
Identifier | Type | State | Issuer |
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1457076119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
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 |