Healthcare Provider Details

I. General information

NPI: 1083954853
Provider Name (Legal Business Name): AUSTIN PRIMARY CARE PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11901 W PARMER LN SUITE 300
CEDAR PARK TX
78613-7651
US

IV. Provider business mailing address

11901 W. PARMER LANE SUITE 300
CEDAR PARK TX
78613
US

V. Phone/Fax

Practice location:
  • Phone: 512-652-0050
  • Fax: 512-652-0091
Mailing address:
  • Phone: 512-652-0050
  • Fax: 512-652-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License NumberN9669
License Number StateTX

VIII. Authorized Official

Name: MELINDA ONDRASEK
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 512-652-0050