MEDICARE: SILVIA MACIAS 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
1	253Z00000X	In Home Supportive Care Agency	309-19245	CA

General Provider Information

NPI Number	:	1386964542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIA MACIAS AUSTIN

Provider Business Mailing Address
First Line	:	1992 CALAVERAS DR
Second Line	:
City	:	BAY POINT
State	:	CA
Zip	:	94565-3351
Country	:	US
Telephone Number	:	925-325-0418
Fax Number	:	925-458-4313

Provider Business Practice Location Address
First Line	:	1992 CALAVERAS DR
Second Line	:
City	:	BAY POINT
State	:	CA
Zip	:	94565-3351
Country	:	US
Telephone Number	:	925-325-0418
Fax Number	:	925-458-4313

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2010
Last Update Date	:	06/09/2010

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Directions to “ SILVIA MACIAS AUSTIN ” Practice Location

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