MEDICARE: AUSTIN KANE WEBER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	205228	TX

General Provider Information

NPI Number	:	1063293314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN KANE WEBER

Provider Business Mailing Address
First Line	:	349 HIGH PLAINS PASS
Second Line	:
City	:	LIBERTY HILL
State	:	TX
Zip	:	78642-2270
Country	:	US
Telephone Number	:	512-655-3275
Fax Number	:

Provider Business Practice Location Address
First Line	:	5541 MCNEIL DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78729-7000
Country	:	US
Telephone Number	:	512-655-3275
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	03/30/2025

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Directions to “ AUSTIN KANE WEBER ” Practice Location

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