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AUSTIN GERIATRIC SPECIALISTS P.A. NPI 1376575886


NPI Information

NPI: 1376575886
Provider Name: AUSTIN GERIATRIC SPECIALISTS, P.A.
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 45D2233053

Address:
12731 RESEARCH BLVD STE B200
AUSTIN, TX
ZIP 78759
Phone: (512) 477-4088
Get Directions

AUSTIN GERIATRIC SPECIALISTS, P.A. is a geriatric medicine internal medicine in Austin, TX. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. AUSTIN GERIATRIC SPECIALISTS, P.A. NPI is 1376575886. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12731 RESEARCH BLVD STE B200
AUSTIN, TX
ZIP 78759
Phone: (512) 477-4088
Fax: (512) 482-0390

The provider's authorized official is Liam M Fry .
The authorized official title is Owner and has the following contact phone number (512) 477-4088.

The CLIA number assigned to this NPI record is 45D2233053 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100049FOTHERTEXASBCBS OF TEXAS
2CI5689OTHERTEXASTRAVELERS/MEDICARE RAILROAD
3079678101MEDICAIDTEXAS
4CG1751OTHERTEXASMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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