MEDICARE: AUSTIN CHILDRENS SURGERY CENTER LLC

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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1528929692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN CHILDRENS SURGERY CENTER LLC

Provider Business Mailing Address
First Line	:	7600 N CAPITAL OF TEXAS HWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-1184
Country	:	US
Telephone Number	:	346-826-8999
Fax Number	:	346-826-8909

Provider Business Practice Location Address
First Line	:	7900 N CAPITAL OF TX HWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731
Country	:	US
Telephone Number	:	346-826-8999
Fax Number	:	346-826-8909

Authorized Official
Title or Position	:	CEO
Name	:	JEFFREY WHEELER
Credential	:
Telephone Number	:	301-494-3000

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	03/02/2026

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