Austin Colon & Rectal Clinic PLLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

AUSTIN COLON & RECTAL CLINIC PLLC

Doing business as

Central Texas Colon and Rectal Surgeons

Practice address

4106 Medical Pkwy
Austin, TX 78756

Phone

(512) 418-1979

Fax

(512) 418-1943

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Yvonne Leza

Title

Administrative Specialist

Phone

(512) 418-1979

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Texas Colon and Rectal Surgeons Doing business as

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1528108792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 MEDICAL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563722",
            "telephone_number": "512-418-1979",
            "fax_number": "512-418-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 MEDICAL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78756",
            "telephone_number": "512-418-1979",
            "fax_number": "512-418-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN COLON & RECTAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "LEZA",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SPECIALIST",
        "authorized_official_telephone_number": "512-418-1979"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200434301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Texas Colon and Rectal Surgeons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Texas Colon and Rectal Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Colon & Rectal Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.