MEDICARE: AUSTIN FAMILY MEDICAL CLINIC, P.A.

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	207Q00000X	Family Medicine Physician	L3467	TX

General Provider Information

NPI Number	:	1972592111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN FAMILY MEDICAL CLINIC, P.A.

Provider Business Mailing Address
First Line	:	4007 JAMES CASEY ST
Second Line	:	SUITE C250A
City	:	AUSTIN
State	:	TX
Zip	:	78745-3369
Country	:	US
Telephone Number	:	512-326-5210
Fax Number	:	512-326-5307

Provider Business Practice Location Address
First Line	:	5721 MISTY HILL CV
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-6248
Country	:	US
Telephone Number	:	512-326-5210
Fax Number	:	512-326-5307

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. RITA ELIZABETH SCHINDELER-TRACHTA
Credential	:	D.O.
Telephone Number	:	512-326-5210

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	08/22/2020

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