Symphony Healthcare Pa | |
711 W 38th St Ste C9 Austin TX 78705-1137 | |
(512) 454-3500 | |
(512) 590-5324 |
Full Name | Symphony Healthcare Pa |
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Speciality | Family Medicine |
Location | 711 W 38th St Ste C9, Austin, Texas |
Authorized Official Name and Position | Johnnae White (FRONT OFFICE) |
Authorized Official Contact | 5124543500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Symphony Healthcare Pa Po Box 269084 Oklahoma City OK 73126-9084 Ph: (512) 454-3500 | Symphony Healthcare Pa 711 W 38th St Ste C9 Austin TX 78705-1137 Ph: (512) 454-3500 |
NPI Number | 1730100694 |
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Provider Enumeration Date | 07/23/2006 |
Last Update Date | 07/17/2024 |
Medicare PECOS PAC ID | 1759300924 |
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Medicare Enrollment ID | O20051116000885 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730100694 | NPI | - | NPPES |
45D1045921 | Other | CLIA | |
0018MY | Other | BCBS GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Tuyet M Fannin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235126194 PECOS PAC ID: 7315970738 Enrollment ID: I20050915001125 |
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 | |
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