Psa Ambulatory Surgical Center of Austin LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PSA AMBULATORY SURGICAL CENTER OF AUSTIN LLC

Practice address

2218 South Lakeline Blvd
Building 1, Suite 101
Cedar Park, TX 78613-4755

Phone

(512) 953-8134

Fax

(737) 689-4102

NPI assigned

Nov 6, 2025

Organization subpart

No

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

Authorized official

Name

Julie Meyer

Title

Cfo

Phone

(512) 485-7200

Specialties & licenses 1

Addresses

Tax ID family

Psa Ambulatory Surgical Center of Austin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Psa Ambulatory Surgical Center of Austin LLC

  dba The Pain Relief SurgiCenter

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1659594190
  NPD tax ID

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1417827494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 SOUTH LAKELINE BLVD",
            "address_2": "BUILDING 1, SUITE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134755",
            "telephone_number": "512-953-8134",
            "fax_number": "737-689-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 SOUTH LAKELINE BLVD",
            "address_2": "BUILDING 1, SUITE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134755",
            "telephone_number": "512-953-8134",
            "fax_number": "737-689-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSA AMBULATORY SURGICAL CENTER OF AUSTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-485-7200"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Kay Proctor, R.D., L.D.
• Hannah Proffitt
• Propel Physical Therapy Services LLC
• Lisa C Pruett, PTA
• Enas L Pruitt, M.D.
• Psa Ambulatory Surgical Center of North Austin LLC
• Psynthesis, PC
• PT Liftology
• Cecilia Puentes
• Emily Francis Lee Pulikal, NP-C

• Ambulatory Surgical Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.