MEDICARE: AUSTIN ENT ASSOCIATES

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	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00QF41	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1891840575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN ENT ASSOCIATES

Provider Business Mailing Address
First Line	:	7200 WYOMING SPRINGS DR STE 1400
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4306
Country	:	US
Telephone Number	:	512-458-6391
Fax Number	:	512-580-0097

Provider Business Practice Location Address
First Line	:	7200 WYOMING SPRINGS DR STE 1400
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4306
Country	:	US
Telephone Number	:	512-458-6391
Fax Number	:	512-580-0097

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	JENNIFER VAN REUSEN
Credential	:
Telephone Number	:	512-380-4050

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	01/28/2025

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Directions to “AUSTIN ENT ASSOCIATES ” Practice Location

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