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NPI Code Detail

MEDICARE: PARK BEND HEAL CENTER

MEDICARE: PARK BEND HEAL CENTER
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
1332BP3500XParenteral & Enteral Nutrition Supplies (DME)

General Provider Information

NPI Number : 1861447062
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARK BEND HEAL CENTER
Provider Business Mailing Address
First Line : 2122 PARK BEND DR
Second Line :
City : AUSTIN
State : TX
Zip : 78758-5352
Country : US
Telephone Number : 512-836-9777
Fax Number : 512-833-9759
Provider Business Practice Location Address
First Line : 2122 PARK BEND DR
Second Line :
City : AUSTIN
State : TX
Zip : 78758-5352
Country : US
Telephone Number : 512-836-9777
Fax Number : 512-833-9759
Authorized Official
Title or Position : VICE PRESIDENT
Name : DOUGLAS HOWERTON
Credential :
Telephone Number : 512-836-9777
Provider Enumeration Date : 05/24/2006
Last Update Date : 08/22/2020

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Directions to “PARK BEND HEAL CENTER ” Practice Location

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