Healthcare Provider Details

I. General information

NPI: 1730270554
Provider Name (Legal Business Name): GREATER AUSTIN ORTHOPAEDICS PA.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 BEE CAVES RD STE 201
AUSTIN TX
78746-5550
US

IV. Provider business mailing address

3003 BEE CAVES RD STE 201
AUSTIN TX
78746-5550
US

V. Phone/Fax

Practice location:
  • Phone: 512-314-3910
  • Fax: 512-377-1520
Mailing address:
  • Phone: 512-314-3910
  • Fax: 512-377-1520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberK8066
License Number StateTX

VIII. Authorized Official

Name: DR. DEAN CHEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 512-314-3910