Austin Adult Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

M4188 Issued in TX

Legal business name

AUSTIN ADULT PRIMARY CARE

Practice address

5301 W Duval Rd
Suite a-500
Austin, TX 78727-6618

Phone

(512) 222-0000

NPI assigned

Aug 10, 2010

Last updated

Feb 24, 2011By 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

Dr. Marc Albert Ibanez, M.D.

Title

President

Phone

(512) 222-0000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna Marie Prokop-Fettig, P.A.-C

  • Medical Physician Assistant
  • Round Rock, TX
  • NPI 1013153147
  NPD (past)

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1629383054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170999",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787170038",
            "telephone_number": "512-222-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 W DUVAL RD",
            "address_2": "SUITE A-500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276618",
            "telephone_number": "512-222-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ADULT PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-222-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M4188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Austin Acupuncture Clinic (Austin Health Clinic)
• Austin Adolescent Therapy (GirlTalk Therapy)
• Austin Adult Homecare
• Austin Anesthesiology Association
• Austin Anesthesiology Group, PLLC
• Austin Area Birthing Center, Inc (Austin Area Birthing Center - Providers)
• Austin Area Birthing Center, Inc
• Austin Area Home Healthcare LLC

• Primary Care Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.