Healthcare Provider Details

I. General information

NPI: 1992763080
Provider Name (Legal Business Name): FORT AUSTIN LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 LIBERTY PARK DR
AUSTIN TX
78746-6891
US

IV. Provider business mailing address

1034 LIBERTY PARK DR
AUSTIN TX
78746-6891
US

V. Phone/Fax

Practice location:
  • Phone: 512-328-3775
  • Fax: 512-329-6533
Mailing address:
  • Phone: 512-328-3775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number116948
License Number StateTX

VIII. Authorized Official

Name: ANNA F.C. MUNOZ
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 414-918-5443