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NPI Code Detail

MEDICARE: THE UNIVERSITY OF TEXAS AT AUSTIN

MEDICARE: THE UNIVERSITY OF TEXAS AT 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
1261QH0100XHealth Service Clinic/Center845473TX

General Provider Information

NPI Number : 1245612225
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE UNIVERSITY OF TEXAS AT AUSTIN
Provider Business Mailing Address
First Line : 2901 N IH 35 # 1.301
Second Line :
City : AUSTIN
State : TX
Zip : 78722-2322
Country : US
Telephone Number : 512-232-3727
Fax Number : 512-471-1455
Provider Business Practice Location Address
First Line : 5301 ROSS RD
Second Line : #H
City : DEL VALLE
State : TX
Zip : 78617-3288
Country : US
Telephone Number : 512-386-3335
Fax Number : 512-386-3333
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MS. CARA GREEN
Credential : CPPM
Telephone Number : 512-232-3727
Provider Enumeration Date : 06/25/2015
Last Update Date : 01/27/2025

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Directions to “THE UNIVERSITY OF TEXAS AT AUSTIN ” Practice Location

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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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