|
| |
|
1600 W 38th St Ste. 212 Austin TX 78731-6400 | |
| (877) 800-5722 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Adolescent Medicine |
| Location | 1600 W 38th St, Austin, Texas |
| Authorized Official Name and Position | Peter C. Periales (CEO) |
| Authorized Official Contact | 5126860207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
205 E University Ave Ste. 200 Georgetown TX 78626-6814 Ph: (877) 800-5722 | 1600 W 38th St Ste. 212 Austin TX 78731-6400 Ph: (877) 800-5722 |
| NPI Number | 1356766166 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 03/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356766166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | P6469 (Texas) | 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 |