Austin Regional Clinic, PA
Organization Active NPI Durable Medical Equipment & Medical Supplies · Pflugerville, TX
NPI 1053963025 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1053963025
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- AUSTIN REGIONAL CLINIC, PA
- Practice address
- 2100 Autumn Slate Dr Ste 150
Pflugerville, TX 78660-6034 - Phone
- (737) 220-7200
- Fax
- (512) 406-7339
- NPI assigned
- Jul 10, 2019
- Organization subpart
- No
Authorized official
- Name
- Anas Daghestani, MD
- Title
- President/Ceo
- Phone
- (512) 419-0707
National Provider Directory
Locations
2100 Autumn Slate Dr
Ste 150
Pflugerville, TX 78660
Phone (737) 220-7200
Interoperability endpoints
- https://mobileprod.arcmd.com/FHIR/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
2100 Autumn Slate Dr Ste 150
Pflugerville, TX 78660-6034
Mailing address
6210 E US Hwy 290
Suite 420 - Credentialing
Austin, TX 78723-1098
Phone (512) 338-3802
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1333940-03 | Medicaid | TX |
Other providers in Pflugerville, TX
- Aura Eye Center
- Austin Comfort Dental
- Austin DME Services
- Austin Five Star ER, P.a.
- Austin Light Home Care LLC
- Austin Regional Clinic, PA
- Austin Regional Clinic, PA
- Avalent Home Healthcare
- Dario Avila
- Erika Avina
All providers in Pflugerville, TX · Durable Medical Equipment & Medical Supplies in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.