Healthcare Provider Details

I. General information

NPI: 1144724261
Provider Name (Legal Business Name): AUSTIN HEALTH PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 CYPRESS CREEK RD STE 104
CEDAR PARK TX
78613-4484
US

IV. Provider business mailing address

6034 W COURTYARD DR STE 110
AUSTIN TX
78730-5064
US

V. Phone/Fax

Practice location:
  • Phone: 512-336-2777
  • Fax: 512-336-2778
Mailing address:
  • Phone: 512-328-2266
  • Fax: 512-328-2055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WADE TRAVIS
Title or Position: PEDIATRICIAN
Credential: MD
Phone: 512-255-8868