| North Austin Family Medicine, Pa | |
|
11671 Jollyville Rd Suite 203 Austin TX 78759-4139 | |
| (512) 338-5150 | |
| (512) 338-5155 |
| Full Name | North Austin Family Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 11671 Jollyville Rd, Austin, Texas |
| Authorized Official Name and Position | John Bangston (PRESIDENT) |
| Authorized Official Contact | 5123385150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Austin Family Medicine, Pa 11671 Jollyville Rd Suite 203 Austin TX 78759-4139 Ph: (512) 338-5150 | North Austin Family Medicine, Pa 11671 Jollyville Rd Suite 203 Austin TX 78759-4139 Ph: (512) 338-5150 |
| NPI Number | 1710196332 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 05/01/2009 |
| Medicare PECOS PAC ID | 5092978833 |
|---|---|
| Medicare Enrollment ID | O20120515000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710196332 | NPI | - | NPPES |
| 8A2720 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K7990 (Texas) | Primary |
| Provider Name | John F Bangston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457361800 PECOS PAC ID: 3870767346 Enrollment ID: I20111118000050 |
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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