Healthcare Provider Details

I. General information

NPI: 1467935866
Provider Name (Legal Business Name): USA EMERGENCY CENTERS - BURNET, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 BURNET RD STE A
AUSTIN TX
78756-1646
US

IV. Provider business mailing address

5525 BURNET RD STE A
AUSTIN TX
78756-1646
US

V. Phone/Fax

Practice location:
  • Phone: 512-371-0911
  • Fax: 512-852-4625
Mailing address:
  • Phone: 512-451-0911
  • Fax: 512-407-9225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY CARTER
Title or Position: GOVERNING BOARD MEMBER
Credential: MD
Phone: 512-451-0911