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1366442550

NPI Code Detail

MEDICARE: TEXAS OAKS PSYCHIATRIC HOSPITAL LP

MEDICARE: TEXAS OAKS PSYCHIATRIC HOSPITAL 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	323P00000X	Psychiatric Residential Treatment Facility
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	2084P0800X	Psychiatry Physician
4	283Q00000X	Psychiatric Hospital

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	HH6643	OTHER	TX	BLUE CROSS PROVIDER NUMBE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366442550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS OAKS PSYCHIATRIC HOSPITAL LP

Provider Business Mailing Address
First Line	:	1407 W STASSNEY LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-2947
Country	:	US
Telephone Number	:	512-464-0200
Fax Number	:	512-464-0484

Provider Business Practice Location Address
First Line	:	1407 W STASSNEY LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-2947
Country	:	US
Telephone Number	:	512-464-0200
Fax Number	:	512-464-0484

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3482

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	10/11/2022

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Practice Location Address:

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1023311321 — SHIVA KUMAR LAM, MD, PA
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1578809505 — TEXAS OAKS PSYCHIATRIC HOSPITAL, LP
Practice Location Address:

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78745-2947

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Practice Fax:

1467846048 — KIMBERLY STERLING RN,MSN,FNP-C
Practice Location Address:

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Directions to “TEXAS OAKS PSYCHIATRIC HOSPITAL LP ” 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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