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4316 James Casey St Bldg. A Austin TX 78745-1157 | |
| (512) 623-5300 | |
| (512) 623-5399 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 4316 James Casey St, Austin, Texas |
| Authorized Official Name and Position | John A Dieck (PRESIDENT) |
| Authorized Official Contact | 5126235300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 13045 Austin TX 78711-3045 Ph: (512) 623-5300 | 4316 James Casey St Bldg. A Austin TX 78745-1157 Ph: (512) 623-5300 |
| NPI Number | 1770744104 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 04/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770744104 | NPI | - | NPPES |
| DO6808 | Other | TX | MEDICARE RAILROAD |
| 0089RZ | Other | TX | BCBSTX GROUP NUMBER |
| 197564102 | Medicaid | TX | |
| 197564101 | Medicaid | TX |
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 |