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11111 Research Blvd Ste 295 Austin TX 78759-5281 | |
(877) 800-5722 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 11111 Research Blvd Ste 295, Austin, Texas |
Authorized Official Name and Position | Jonathan David Calvin (CEO) |
Authorized Official Contact | 5129941933 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (512) 686-0207 | 11111 Research Blvd Ste 295 Austin TX 78759-5281 Ph: (877) 800-5722 |
NPI Number | 1780923045 |
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Provider Enumeration Date | 02/06/2013 |
Last Update Date | 07/19/2024 |
Medicare PECOS PAC ID | 5193709392 |
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Medicare Enrollment ID | O20130517000108 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780923045 | NPI | - | NPPES |
3123119-02 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | 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 |