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NPI Code Detail

MEDICARE: ASCENSION SETON

MEDICARE: ASCENSION SETON
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
1283Q00000XPsychiatric Hospital000770TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538264866
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCENSION SETON
Provider Business Mailing Address
First Line : 1345 PHILOMENA ST.
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3185
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3501 MILLS AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78731-6309
Country : US
Telephone Number : 512-324-2000
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : CRAIG CORDOLA
Credential :
Telephone Number : 512-324-1000
Provider Enumeration Date : 09/13/2006
Last Update Date : 04/11/2019

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Directions to “ASCENSION SETON ” Practice Location

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