| |
10515 N Mopac Expy Ste A130 Austin TX 78759-5478 | |
(512) 772-2804 | |
(512) 772-2824 |
Full Name | |
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Speciality | Clinic/Center |
Location | 10515 N Mopac Expy Ste A130, Austin, Texas |
Authorized Official Name and Position | William Seibels (CFO) |
Authorized Official Contact | 6156103727 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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214 Centerview Dr Ste 250 Brentwood TN 37027-3248 Ph: () - | 10515 N Mopac Expy Ste A130 Austin TX 78759-5478 Ph: (512) 772-2804 |
NPI Number | 1831977255 |
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Provider Enumeration Date | 09/18/2023 |
Last Update Date | 10/17/2024 |
Medicare PECOS PAC ID | 6507209129 |
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Medicare Enrollment ID | O20240209002750 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831977255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Lauren Lucas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588226195 PECOS PAC ID: 6204164015 Enrollment ID: I20190817000306 |
Provider Name | Andria Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962020701 PECOS PAC ID: 0941605836 Enrollment ID: I20210816001100 |
Provider Name | Jensen Volz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043996713 PECOS PAC ID: 2163878257 Enrollment ID: I20231025003446 |
Provider Name | Jennifer White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831899111 PECOS PAC ID: 0345684627 Enrollment ID: I20240214002021 |
Provider Name | Samuel Machuca |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801597372 PECOS PAC ID: 5395180061 Enrollment ID: I20240304003311 |
Provider Name | Lisa Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811476211 PECOS PAC ID: 9133463235 Enrollment ID: I20240402000260 |
Provider Name | Jordann Olson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164063178 PECOS PAC ID: 4981030236 Enrollment ID: I20240403004322 |
Provider Name | Ann Frances Owen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801652227 PECOS PAC ID: 6800237470 Enrollment ID: I20240514001302 |
Provider Name | Breanna Muniz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255816419 PECOS PAC ID: 9335482033 Enrollment ID: I20240705002596 |
Provider Name | Priyanka Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417786914 PECOS PAC ID: 7315488459 Enrollment ID: I20240917002318 |
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 |