Healthcare Provider Details

I. General information

NPI: 1053140848
Provider Name (Legal Business Name): GAIN HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 STECK AVE STE A100
AUSTIN TX
78759-0006
US

IV. Provider business mailing address

3921 STECK AVE STE A100
AUSTIN TX
78759-0006
US

V. Phone/Fax

Practice location:
  • Phone: 512-298-0709
  • Fax:
Mailing address:
  • Phone: 512-298-0709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC3500X
TaxonomyCardiac Rehabilitation Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH GEORGE
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 512-808-6454