MEDICARE: MEDICAL CENTER AT THOUGHTFUL HOUSE

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	174400000X	Specialist

General Provider Information

NPI Number	:	1629309745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL CENTER AT THOUGHTFUL HOUSE

Provider Business Mailing Address
First Line	:	3001 BEE CAVES RD STE 120
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-5590
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 BEE CAVES RD STE 120
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-5590
Country	:	US
Telephone Number	:	512-732-8400
Fax Number	:	512-732-9923

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. THERESA GORSKE
Credential	:
Telephone Number	:	512-732-8400

Provider Enumeration Date	:	01/29/2010
Last Update Date	:	01/29/2010

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Directions to “MEDICAL CENTER AT THOUGHTFUL HOUSE ” Practice Location

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