SENIOR ADULTS SPECIALTY HEALTHCARE PA NPI 1639170541

NPI Information

SENIOR ADULTS SPECIALTY HEALTHCARE PA is a geriatric psychiatry psychiatry neurology in Austin, TX. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. SENIOR ADULTS SPECIALTY HEALTHCARE PA NPI is 1639170541. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3215 STECK AVE
SUITE 200
AUSTIN, TX
ZIP 78757-566
Phone: (512) 476-3556
Fax: (512) 476-0195

The provider's authorized official is Jaron L Winston .
The authorized official title is Owner and has the following contact phone number (512) 476-3556.

The CLIA number assigned to this NPI record is 45D1046962 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 7/21/2022.

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:

Other Identifiers

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

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