Arboretum Austin Management, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

ARBORETUM AUSTIN MANAGEMENT, LLC

Doing business as

Austin Emergency Room

Practice address

10407 Jollyville Rd
Austin, TX 78759-5626

Phone

(513) 481-2321

NPI assigned

Mar 27, 2021

Last updated

Apr 4, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ALTUS AUSTIN EMERGENCY CENTER HOLDCO, LLCAs reported in NPPES

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

Authorized official

Name

Kraig 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": "1616803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1912584699",
    "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": "10407 JOLLYVILLE RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595626",
            "telephone_number": "513-481-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBORETUM AUSTIN MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTUS AUSTIN EMERGENCY CENTER HOLDCO, LLC",
        "enumeration_date": "2021-03-27",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "KILLOUGH",
        "authorized_official_first_name": "KRAIG",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "832-230-8100"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUSTIN EMERGENCY ROOM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Leshawn Arbuckle, LCSW
• Ruth Carolyn Arbuckle, D.C.
• Sarah Arbuckle, RDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.