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	261QP2300X	Primary Care Clinic/Center
2	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1346862752
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	:	512-324-1000
Fax Number	:	512-459-5629

Provider Business Practice Location Address
First Line	:	249 SPORTSPLEX DR.
Second Line	:	SUITE 204
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-2350
Country	:	US
Telephone Number	:	512-324-9570
Fax Number	:	512-324-9573

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	WILLIAM DAVIS
Credential	:
Telephone Number	:	512-324-1861

Provider Enumeration Date	:	05/08/2020
Last Update Date	:	05/24/2021

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Directions to “ASCENSION SETON ” Practice Location

Language	Start Address	Practice Location

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