Healthcare Provider Details

I. General information

NPI: 1275443657
Provider Name (Legal Business Name): ASCENSION SETON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 NORTH LAMAR BUILDING E, SUITE 103
AUSTIN TX
78751-1073
US

IV. Provider business mailing address

5555 NORTH LAMAR BUILDING E, SUITE 103
AUSTIN TX
78751-1073
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-1875
  • Fax: 512-324-1876
Mailing address:
  • Phone: 512-324-1875
  • Fax: 512-324-1876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIE HOLLY
Title or Position: REG DIR NET REV & REIMB
Credential:
Phone: 210-410-2789