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	261QA1903X	Ambulatory Surgical Clinic/Center
2	282N00000X	General Acute Care Hospital

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	67-0041	OTHER	TX	MEDICARE CCN

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578780870
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	:	512-323-4100
Fax Number	:	512-459-5629

Provider Business Practice Location Address
First Line	:	201 SETON PARKWAY
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-8000
Country	:	US
Telephone Number	:	512-324-4000
Fax Number	:	512-324-4650

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	CRAIG CORDOLA
Credential	:
Telephone Number	:	512-324-1000

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	04/08/2019

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Directions to “ASCENSION SETON ” Practice Location

Language	Start Address	Practice Location

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