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General NPI Number Information
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NPI Number | 1326469172
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Entity Type | Organization
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Legal Business Name | EHI SURGERY CENTER AUSTIN, LLC
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Dates
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Enumeration Date | 12/20/2013
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 3107 OAK CREEK DR SUITE 120
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City | AUSTIN
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State | TX
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Zip | 78727-3020
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Country | US
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Telephone | 512-255-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 16420 PARK TEN PL SUITE 125
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City | HOUSTON
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State | TX
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Zip | 77084-5050
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RICHARD D. TRIBE
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Credential |
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Telephone | 512-225-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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