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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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12134836OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
35905801OTHERTXNCPDP

General Provider Information

NPI Number : 1124386354
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCENSION SETON
Provider Business Mailing Address
First Line : 1500 RED RIVER ST # 14052
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1918
Country : US
Telephone Number : 512-324-7393
Fax Number : 512-324-7366
Provider Business Practice Location Address
First Line : 1500 RED RIVER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1918
Country : US
Telephone Number : 512-324-7393
Fax Number :
Authorized Official
Title or Position : REGIONAL DIR NET REV & REIMB
Name : JULIE HOLLY
Credential :
Telephone Number : 210-410-2789
Provider Enumeration Date : 04/25/2012
Last Update Date : 06/13/2024

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Directions to “ASCENSION SETON ” Practice Location

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