| |
5900 Balcones Dr Ste 19443 Austin TX 78731-4257 | |
(469) 903-4235 | |
(469) 903-4244 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 5900 Balcones Dr Ste 19443, Austin, Texas |
Authorized Official Name and Position | Chioma Yvonne Okemuo (MANAGER) |
Authorized Official Contact | 4698942427 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
5900 Balcones Dr Ste 19443 Austin TX 78731-4257 Ph: (469) 903-4235 | 5900 Balcones Dr Ste 19443 Austin TX 78731-4257 Ph: (469) 903-4235 |
NPI Number | 1962150011 |
---|---|
Provider Enumeration Date | 03/16/2022 |
Last Update Date | 04/05/2024 |
Medicare PECOS PAC ID | 4789070004 |
---|---|
Medicare Enrollment ID | O20220413000443 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962150011 | NPI | - | NPPES |
Provider Name | Amauche Obi-eyisi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669082509 PECOS PAC ID: 5193151306 Enrollment ID: I20240516003159 |
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 |