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NPI Code Detail

MEDICARE: CITY OF AUSTIN

MEDICARE: CITY OF AUSTIN
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
1207R00000XInternal Medicine Physician
2207V00000XObstetrics & Gynecology Physician
3208000000XPediatrics Physician
4363A00000XPhysician Assistant
5363LF0000XFamily Nurse Practitioner
6363LW0102XWomen's Health Nurse Practitioner
7207Q00000XFamily Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100HE66OTHERTXMEDICARE PART B GROUP #

General Provider Information

NPI Number : 1982888749
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF AUSTIN
Provider Business Mailing Address
First Line : 211 COMAL ST
Second Line :
City : AUSTIN
State : TX
Zip : 78702-4326
Country : US
Telephone Number : 512-972-4322
Fax Number : 512-972-4220
Provider Business Practice Location Address
First Line : 15 WALLER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78702-5240
Country : US
Telephone Number : 512-972-4074
Fax Number : 512-972-4088
Authorized Official
Title or Position : CEO
Name : MR. DAVID B VLIET
Credential :
Telephone Number : 512-972-4242
Provider Enumeration Date : 12/28/2007
Last Update Date : 12/28/2007

Similar Medicare Providers

1215866611 — JARRED ALICEA
Practice Location Address:
15 WALLER ST
AUSTIN, TX
78702-5240
Practice Phone: 512-972-5460
Practice Fax:
1295704732 — CITY OF AUSTIN
Practice Location Address:
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1396842647 — DR. KRISTEN ALLEN OEHLER DDS
Practice Location Address:
15 WALLER ST
AUSTIN, TX
78702-5240
Practice Phone: 512-978-9895
Practice Fax: 512-978-9900
1053419952 — MR. ABRAHAM WALL LCSW
Practice Location Address:
15 WALLER ST
AUSTIN, TX
78702-5240
Practice Phone: 512-972-5134
Practice Fax:
1629139738 — CITY OF AUSTIN
Practice Location Address:
15 WALLER ST , SUITE 410
AUSTIN, TX
78702-5240
Practice Phone: 512-972-5805
Practice Fax: 512-972-6225
1134242811 — CITY OF AUSTIN
Practice Location Address:
15 WALLER ST
AUSTIN, TX
78702-5240
Practice Phone: 512-972-4088
Practice Fax: 512-972-4086

Directions to “CITY OF AUSTIN ” Practice Location

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