| Full Name | |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 2811 E 2nd St, Austin, Texas |
| Authorized Official Name and Position | Craig Cordola (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5123241000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2811 E 2nd St Austin TX 78702-4843 Ph: (512) 324-4930 | 2811 E 2nd St Austin TX 78702-4843 Ph: (512) 324-6852 |
| NPI Number | 1770593683 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770593683 | NPI | - | NPPES |
| 111433201 | Other | TX | MEDICAID EPSDT |
| 135225401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | 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 |