| The Doctor Is At Your Door Pa | |
|
8302 Minnesota Ln Austin TX 78745-6360 | |
| (512) 656-2130 | |
| Not Available |
| Full Name | The Doctor Is At Your Door Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 8302 Minnesota Ln, Austin, Texas |
| Authorized Official Name and Position | Jose Garcia (OWNER) |
| Authorized Official Contact | 5128910056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Doctor Is At Your Door Pa 8302 Minnesota Ln Austin TX 78745-6360 Ph: (512) 656-2130 | The Doctor Is At Your Door Pa 8302 Minnesota Ln Austin TX 78745-6360 Ph: (512) 656-2130 |
| NPI Number | 1477658227 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 02/24/2020 |
| Medicare PECOS PAC ID | 6800802737 |
|---|---|
| Medicare Enrollment ID | O20060301000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477658227 | NPI | - | NPPES |
| 179640101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose Reymundo Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093821506 PECOS PAC ID: 6002883808 Enrollment ID: I20040913000104 |
| Provider Name | Desiree Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932646866 PECOS PAC ID: 3678856846 Enrollment ID: I20170214000587 |
| Provider Name | Sabainah Ogunrinade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487150637 PECOS PAC ID: 2365516408 Enrollment ID: I20180705002548 |
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