South Austin Medical Clinic Pa | |
2555 Western Trails Blvd Suite 101 Austin TX 78745-1687 | |
(512) 892-6600 | |
(512) 892-6609 |
Full Name | South Austin Medical Clinic Pa |
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Speciality | Family Medicine |
Location | 2555 Western Trails Blvd, Austin, Texas |
Authorized Official Name and Position | Eric W Weidmann (PHYSICIAN) |
Authorized Official Contact | 5128926600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Austin Medical Clinic Pa 2555 Western Trails Blvd Suite 101 Austin TX 78745-1687 Ph: (512) 892-6600 | South Austin Medical Clinic Pa 2555 Western Trails Blvd Suite 101 Austin TX 78745-1687 Ph: (512) 892-6600 |
NPI Number | 1528098746 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9537143086 |
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Medicare Enrollment ID | O20040614001355 |
Identifier | Type | State | Issuer |
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1528098746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Manuel J Martin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710981402 PECOS PAC ID: 3072596899 Enrollment ID: I20040611000195 |
Provider Name | Seth Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821067729 PECOS PAC ID: 2668426701 Enrollment ID: I20050310000873 |
Provider Name | Donovan David Runyan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699752774 PECOS PAC ID: 7012940992 Enrollment ID: I20050912000928 |
Provider Name | Ian S Alward |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790764058 PECOS PAC ID: 2567350473 Enrollment ID: I20070109000518 |
Provider Name | Chad F Babcock |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356482178 PECOS PAC ID: 8426147471 Enrollment ID: I20071129000158 |
Provider Name | Michael Rie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902009301 PECOS PAC ID: 7911087762 Enrollment ID: I20080107000043 |
Provider Name | Amy Kristin Easterling |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881897270 PECOS PAC ID: 6002990017 Enrollment ID: I20080229000346 |
Provider Name | April M Calderon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437475191 PECOS PAC ID: 2860523396 Enrollment ID: I20100628000748 |
Provider Name | Eric Windsor Weidmann |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922002617 PECOS PAC ID: 8628262532 Enrollment ID: I20101103001441 |
Provider Name | Nicholas T Lin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972751360 PECOS PAC ID: 1052592078 Enrollment ID: I20110224000258 |
Provider Name | Todd A Canon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275553901 PECOS PAC ID: 7810912334 Enrollment ID: I20110509000610 |
Provider Name | Celia B Servin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326336371 PECOS PAC ID: 8022241520 Enrollment ID: I20140508000558 |
Provider Name | Tyler Michael Glenn Batey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831546365 PECOS PAC ID: 7618220591 Enrollment ID: I20190814000859 |
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 | |
El Buen Samaritano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 | |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 | |
Texas Medclinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9900 S Ih 35, Austin, TX 78748 Phone: 512-291-5577 Fax: 512-291-5576 | |
Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Slaughter Ln, Suite 300, Austin, TX 78748 Phone: 469-277-8253 |