Healthcare Provider Details

I. General information

NPI: 1487783379
Provider Name (Legal Business Name): ANY BABY CAN OF AUSTIN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6207 SHERIDAN AVE
AUSTIN TX
78723-1060
US

IV. Provider business mailing address

6207 SHERIDAN AVE
AUSTIN TX
78723-1060
US

V. Phone/Fax

Practice location:
  • Phone: 512-454-3743
  • Fax: 512-334-4465
Mailing address:
  • Phone: 512-454-3743
  • Fax: 512-334-4465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARMEN GEORGE
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 512-454-3743