Healthcare Provider Details

I. General information

NPI: 1619914777
Provider Name (Legal Business Name): HORIZON HEALTH AUSTIN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 06/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 E 32ND ST
AUSTIN TX
78705-2714
US

IV. Provider business mailing address

1025 E 32ND ST
AUSTIN TX
78705-2714
US

V. Phone/Fax

Practice location:
  • Phone: 512-544-5253
  • Fax:
Mailing address:
  • Phone: 512-544-5253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number008552
License Number StateTX

VIII. Authorized Official

Name: JULIE A. PEREZ
Title or Position: CFO
Credential:
Phone: 512-544-5030