Healthcare Provider Details
I. General information
NPI: 1922593250
Provider Name (Legal Business Name): AUSTIN LIFECARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/28/2018
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1007 E 41ST ST
AUSTIN TX
78751-4809
US
IV. Provider business mailing address
1007 E 41ST ST
AUSTIN TX
78751-4809
US
V. Phone/Fax
- Phone: 512-374-0055
- Fax: 512-374-0085
- Phone: 866-496-6364
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0005X |
| Taxonomy | Ambulatory Family Planning Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIA
TOMLINSON
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 512-374-0055