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1124137054

NPI Code Detail

MEDICARE: ASCENSION SETON

MEDICARE: ASCENSION SETON

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	261QA1903X	Ambulatory Surgical Clinic/Center
2	282N00000X	General Acute Care Hospital	007976	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	450867	OTHER		UNICARE
4	274885	OTHER		SCOTT & WHITE
5	HH0008	OTHER	TX	BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124137054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCENSION SETON

Provider Business Mailing Address
First Line	:	1345 PHILOMENA ST.
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-3185
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11113 RESEARCH
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-5236
Country	:	US
Telephone Number	:	512-324-6000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. CRAIG CORDOLA
Credential	:
Telephone Number	:	512-324-1000

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	04/11/2019

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Directions to “ASCENSION SETON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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