Austin Regional Clinic, PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AUSTIN REGIONAL CLINIC, PA

Doing business as

ARC - Hutto

Practice address

151 Exchange Blvd Ste 500
Hutto, TX 78634-5381

Phone

(512) 846-1244

Fax

(512) 406-7324

NPI assigned

Nov 5, 2018

Last updated

Feb 20, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anas Daghestani, MD

Title

Ceo/President

Phone

(512) 231-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ARC - Hutto Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1366910606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E US HWY 290",
            "address_2": "SUITE 420 - CREDENTIALING",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231098",
            "telephone_number": "512-338-3802",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EXCHANGE BLVD STE 500",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345381",
            "telephone_number": "512-846-1244",
            "fax_number": "512-406-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN REGIONAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "DAGHESTANI",
        "authorized_official_first_name": "ANAS",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "512-231-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1333940-07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARC - Hutto",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARC - Hutto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Arcello
• Julie A Artes, M.A., CCC-SLP
• Andrew Joseph Athmer, FNP-C
• Keira Aukamp, LPC
• Austin Dental 2 PLLC (Advanced Dental Care of Hutto)
• Oluwaseun Awofisayo
• B-Trak LLC (Angel Hearts Home Care)
• Shelley Sue Ballard, MA
• Garrett Barton, BCBA, MA, LBA
• Rachel Basulto Balido, NP

• Durable Medical Equipment & Medical Supplies in Hutto, TX
• Providers in Hutto, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.