| |
2600 Via Fortuna Ste 400 Austin TX 78746-7992 | |
(713) 275-2457 | |
(713) 275-2466 |
Full Name | |
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Speciality | Clinic/center |
Location | 2600 Via Fortuna Ste 400, Austin, Texas |
Authorized Official Name and Position | Susan Sheppard (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 7132752457 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 659506 Dept 2181 San Antonio TX 78265-9506 Ph: (713) 275-2457 | 2600 Via Fortuna Ste 400 Austin TX 78746-7992 Ph: (713) 275-2457 |
NPI Number | 1124220363 |
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Provider Enumeration Date | 06/01/2007 |
Last Update Date | 03/31/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124220363 | NPI | - | NPPES |
158554907 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (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 |