Healthcare Provider Details

I. General information

NPI: 1750499273
Provider Name (Legal Business Name): ASCENSION SETON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 FM 1826
AUSTIN TX
78737-1407
US

IV. Provider business mailing address

1345 PHILOMENA
AUSTIN TX
78723-3185
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-5305
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number007975
License Number StateTX

VIII. Authorized Official

Name: WILLIAM DAVIS
Title or Position: CEO ASCENSION TEXAS
Credential:
Phone: 512-324-8611