Healthcare Provider Details

I. General information

NPI: 1851974430
Provider Name (Legal Business Name): ASCENSION SETON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 KYLE PKWY
KYLE TX
78640-6112
US

IV. Provider business mailing address

6001 KYLE PARKWAY OUTPATIENT PHARMACY
KYLE TX
78640
US

V. Phone/Fax

Practice location:
  • Phone: 512-504-5170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VIII. Authorized Official

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