Healthcare Provider Details

I. General information

NPI: 1134032675
Provider Name (Legal Business Name): THE SETON COVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 WILLIAMS DR
GEORGETOWN TX
78628-4321
US

IV. Provider business mailing address

1345 PHILOMENA ST
AUSTIN TX
78723-3185
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-9738
  • Fax: 512-324-9738
Mailing address:
  • Phone: 512-324-9738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIE HOLLY
Title or Position: REG DIR NET REV & REIMBURSEMENT
Credential:
Phone: 210-410-2789