Healthcare Provider Details
I. General information
NPI: 1538397096
Provider Name (Legal Business Name): INSPIRE FAMILY HEALTH PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2009
Last Update Date: 05/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2301 W NORTH LOOP BLVD
AUSTIN TX
78756
US
IV. Provider business mailing address
711 W 38TH ST STE G2
AUSTIN TX
78705-1134
US
V. Phone/Fax
- Phone: 512-452-2506
- Fax: 512-371-0187
- Phone: 512-910-3800
- Fax: 512-824-0152
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PAUL
H.
LE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 512-454-5911