MEDICARE: AUSTIN CENTER FOR OUTPATIENT SURGERY LP

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	284300000X	Special Hospital

General Provider Information

NPI Number	:	1245292630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN CENTER FOR OUTPATIENT SURGERY LP

Provider Business Mailing Address
First Line	:	6818 AUSTIN CENTER BLVD # 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-3100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6818 AUSTIN CENTER BLVD # 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-3100
Country	:	US
Telephone Number	:	512-346-1994
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	LEA HARBOR
Credential	:
Telephone Number	:	205-545-2572

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	07/29/2015

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