Healthcare Provider Details

I. General information

NPI: 1295173664
Provider Name (Legal Business Name): ARISE HEALTHCARE SYSTEM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2013
Last Update Date: 09/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 BEE CAVE RD
AUSTIN TX
78746-5542
US

IV. Provider business mailing address

5300 BEE CAVE RD BUILDING 1, SUITE 100
WEST LAKE HILLS TX
78746-5226
US

V. Phone/Fax

Practice location:
  • Phone: 512-314-3800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number100216
License Number StateTX

VIII. Authorized Official

Name: JARED S. LEGER
Title or Position: SECRETARY
Credential:
Phone: 512-314-3800