MEDICARE: DEPENDACARE OF AUSTIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	0071814	TX
2	332BC3200X	Customized Equipment (DME)	0071814	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073510574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPENDACARE OF AUSTIN

Provider Business Mailing Address
First Line	:	5321 INDUSTRIAL OAKS BLVD
Second Line	:	SUITE # 121
City	:	AUSTIN
State	:	TX
Zip	:	78735-8822
Country	:	US
Telephone Number	:	512-892-0405
Fax Number	:	512-892-0431

Provider Business Practice Location Address
First Line	:	5321 INDUSTRIAL OAKS BLVD
Second Line	:	SUITE # 121
City	:	AUSTIN
State	:	TX
Zip	:	78735-8822
Country	:	US
Telephone Number	:	512-892-0405
Fax Number	:	512-892-0431

Authorized Official
Title or Position	:	CEO
Name	:	MS. LINDEE L HENDRIX
Credential	:
Telephone Number	:	512-944-9916

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	09/30/2010

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Directions to “DEPENDACARE OF AUSTIN ” Practice Location

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