Healthcare Provider Details

I. General information

NPI: 1578932521
Provider Name (Legal Business Name): MRS. LIN CAI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2015
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7005 MIRA LOMA LN # 102
AUSTIN TX
78723-1411
US

IV. Provider business mailing address

11608 SPICEWOOD PKWY UNIT 18
AUSTIN TX
78750-2650
US

V. Phone/Fax

Practice location:
  • Phone: 512-795-4344
  • Fax: 512-928-9466
Mailing address:
  • Phone: 737-444-6240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP129046
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP129046
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: