Far West Austin Emergency Center, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

FAR WEST AUSTIN EMERGENCY CENTER, LLC

Practice address

3563 Far West Blvd
Austin, TX 78731-3079

Phone

(512) 877-7108

NPI assigned

Mar 26, 2021

Organization subpart

Yes

Parent organization

ALTUS AUSTIN EMERGENCY CENTER HOLDON, LLCAs reported in NPPES

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

Authorized official

Name

Krai Killough

Title

Coo

Phone

(832) 230-8100

Specialties & licenses 1

Addresses

Other names 1

• AUSTIN EMERGENCY ROOM Doing business as

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1851978654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 WEST LOOP S STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279510",
            "telephone_number": "832-230-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 FAR WEST BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313079",
            "telephone_number": "512-877-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR WEST AUSTIN EMERGENCY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTUS AUSTIN EMERGENCY CENTER HOLDON, LLC",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "KILLOUGH",
        "authorized_official_first_name": "KRAI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "832-230-8100"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUSTIN EMERGENCY ROOM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Fanta
• Dean Fantasia
• Julianne Fantazia, RD
• Isabella Fanucci-Dishon
• Far South Psychiatry, PLLC
• Far West Imaging LP
• Far West Optical PC
• Katherine K Farady, MD
• Maria Farag, DPT
• Peter Farag, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.