Healthcare Provider Details

I. General information

NPI: 1093752164
Provider Name (Legal Business Name): ST. DAVIDS HEALTHCARE PARTNERSHIP LP LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W BEN WHITE BLVD
AUSTIN TX
78704-6903
US

IV. Provider business mailing address

901 W BEN WHITE BLVD
AUSTIN TX
78704-6903
US

V. Phone/Fax

Practice location:
  • Phone: 512-447-2211
  • Fax: 512-448-7326
Mailing address:
  • Phone: 512-447-2211
  • Fax: 512-448-7326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: BRYAN LEE
Title or Position: CFO
Credential:
Phone: 512-816-6111