Healthcare Provider Details
I. General information
NPI: 1265044333
Provider Name (Legal Business Name): USA EMERGENCY CENTERS - SOUTH AUSTIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2020
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8721 MENCHACA RD
AUSTIN TX
78748-5308
US
IV. Provider business mailing address
5525 BURNET RD STE A
AUSTIN TX
78756-1646
US
V. Phone/Fax
- Phone: 512-371-0911
- Fax:
- Phone: 512-465-2041
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QE0002X |
| Taxonomy | Emergency Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARTHUR
ABELLO
Title or Position: GOVERNING BOARD MEMBER
Credential: MD
Phone: 512-451-0911