| |
2121 E Oltorf St Ste 17a Austin TX 78741-4533 | |
(512) 277-3751 | |
Not Available |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 2121 E Oltorf St Ste 17a, Austin, Texas |
Authorized Official Name and Position | Jonathon Ingram (CHIEF MARKETING OFFICER) |
Authorized Official Contact | 8323501778 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 339 Holland TX 76534-0339 Ph: (512) 487-5556 | 2121 E Oltorf St Ste 17a Austin TX 78741-4533 Ph: (512) 277-3751 |
NPI Number | 1316529357 |
---|---|
Provider Enumeration Date | 04/28/2021 |
Last Update Date | 06/23/2022 |
Medicare PECOS PAC ID | 4688048150 |
---|---|
Medicare Enrollment ID | O20230323002384 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316529357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Joshua Aaron Allen |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1699760264 PECOS PAC ID: 2062483282 Enrollment ID: I20040803000146 |
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 |