MEDICARE: AUSTIN SLEEP AND AIRWAY HEALTH 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	332BC3200X	Customized Equipment (DME)
2	122300000X	Dentist

General Provider Information

NPI Number	:	1700625704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN SLEEP AND AIRWAY HEALTH PLLC

Provider Business Mailing Address
First Line	:	1701 SIMOND AVE UNIT 107A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-4773
Country	:	US
Telephone Number	:	512-516-9240
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 SIMOND AVE UNIT 107A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-4773
Country	:	US
Telephone Number	:	512-516-9240
Fax Number	:	512-298-4588

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KACIE MARIE CULOTTA
Credential	:	DMD
Telephone Number	:	512-900-9715

Provider Enumeration Date	:	05/21/2024
Last Update Date	:	02/10/2026

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