Healthcare Provider Details

I. General information

NPI: 1972557957
Provider Name (Legal Business Name): ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12221 N MO PAC EXPY
AUSTIN TX
78758-2401
US

IV. Provider business mailing address

1 PARK PLZ REGULATORY COMPLIANCE SUPPORT, BLDG. 2-3 W
NASHVILLE TN
37203-6527
US

V. Phone/Fax

Practice location:
  • Phone: 512-901-1000
  • Fax: 512-901-1995
Mailing address:
  • Phone: 512-901-1000
  • Fax: 512-901-1995

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: JON BAKER
Title or Position: CFO
Credential:
Phone: 512-901-2503