Summit Mental Health Clinic Pa | |
4131 Spicewood Springs Rd Bldg#l, #2 Austin TX 78759-8661 | |
(512) 732-2122 | |
Not Available |
Full Name | Summit Mental Health Clinic Pa |
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Speciality | Clinic/Center |
Location | 4131 Spicewood Springs Rd, Austin, Texas |
Authorized Official Name and Position | Francisca Ada Ifesinachukwu (MEDICAL DIRECTOR/PRESIDENT) |
Authorized Official Contact | 5127322122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Summit Mental Health Clinic Pa Po Box 17906 Austin TX 78760-7906 Ph: (512) 732-2122 | Summit Mental Health Clinic Pa 4131 Spicewood Springs Rd Bldg#l, #2 Austin TX 78759-8661 Ph: (512) 732-2122 |
NPI Number | 1699945360 |
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Provider Enumeration Date | 03/10/2008 |
Last Update Date | 03/10/2008 |
Medicare PECOS PAC ID | 5890752315 |
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Medicare Enrollment ID | O20041216000484 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699945360 | NPI | - | NPPES |
00773X | Other | TX | MEDICARE GROUP # |
153758102 | Medicaid | TX | |
173311501 | Other | TX | TPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | L1620 (Texas) | Primary |
Provider Name | Francisca A Ifesinachukwu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558475335 PECOS PAC ID: 5799742219 Enrollment ID: I20041220000045 |
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 |