| Healwell Of Texas Llc | |
|
5900 Balcones Dr Ste 11482 Austin TX 78731-4257 | |
| (405) 492-7229 | |
| (888) 777-8306 |
| Full Name | Healwell Of Texas Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5900 Balcones Dr Ste 11482, Austin, Texas |
| Authorized Official Name and Position | Randi Jones (OWNER) |
| Authorized Official Contact | 4054927229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healwell Of Texas Llc 5900 Balcones Dr Ste 11482 Austin TX 78731-4257 Ph: (405) 492-7229 | Healwell Of Texas Llc 5900 Balcones Dr Ste 11482 Austin TX 78731-4257 Ph: (405) 492-7229 |
| NPI Number | 1740976265 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/17/2023 |
| Medicare PECOS PAC ID | 9830558873 |
|---|---|
| Medicare Enrollment ID | O20230707003732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740976265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Roger R Leaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730147703 PECOS PAC ID: 0446217400 Enrollment ID: I20041213000113 |
| Provider Name | Cindy L Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285240077 PECOS PAC ID: 6305253253 Enrollment ID: I20210322001247 |
| Provider Name | Jessi Runyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538705181 PECOS PAC ID: 1951729540 Enrollment ID: I20230817000541 |
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