MEDICARE: AUSTIN ER ASSOCIATES PLLC

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	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1376114587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN ER ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	11233 SHADOW CREEK PKWY STE 313
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7367
Country	:	US
Telephone Number	:	832-230-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	13435 N US HIGHWAY 183 STE 311
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-3258
Country	:	US
Telephone Number	:	512-614-1200
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MR. BENJAMIN BECKERT
Credential	:	MD
Telephone Number	:	409-892-6015

Provider Enumeration Date	:	07/08/2021
Last Update Date	:	01/27/2022

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