Healthcare Provider Details
I. General information
NPI: 1003283060
Provider Name (Legal Business Name): PREMIER HOSPITALISTS OF AUSTIN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2015
Last Update Date: 08/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4301 W WILLIAM CANNON DR STE B150 #273
AUSTIN TX
78749-1487
US
IV. Provider business mailing address
4301 W WILLIAM CANNON DR STE B150 #273
AUSTIN TX
78749-1487
US
V. Phone/Fax
- Phone: 512-358-0949
- Fax: 512-233-5277
- Phone: 512-358-0949
- Fax: 512-233-5277
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DANIEL
SHIH
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 512-358-0949