Emerald Medical Ny Pc | |
823 Congress Ave Ste 1200 Austin TX 78701-2402 | |
(855) 422-3855 | |
Not Available |
Full Name | Emerald Medical Ny Pc |
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Speciality | General Practice |
Location | 823 Congress Ave Ste 1200, Austin, Texas |
Authorized Official Name and Position | Brantley Jolly (PRESIDENT/OWNER) |
Authorized Official Contact | 8554223855 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Emerald Medical Ny Pc 823 Congress Ave Ste 1200 Austin TX 78701-2402 Ph: () - | Emerald Medical Ny Pc 823 Congress Ave Ste 1200 Austin TX 78701-2402 Ph: (855) 422-3855 |
NPI Number | 1508605973 |
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Provider Enumeration Date | 05/23/2024 |
Last Update Date | 05/23/2024 |
Medicare PECOS PAC ID | 0941749782 |
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Medicare Enrollment ID | O20240826000992 |
Identifier | Type | State | Issuer |
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1508605973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Sahil Rajesh Vagha |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841785656 PECOS PAC ID: 7113322850 Enrollment ID: I20210818004100 |
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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