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AUSTIN ENDOMETRIOSIS & FEMALE INFERTILITY CENTER PA NPI 1710085089


NPI Information

NPI: 1710085089
Provider Name: AUSTIN ENDOMETRIOSIS & FEMALE INFERTILITY CENTER PA

Doing Business As: AUSTIN ENDOMETRIOSIS & FERTILITY CENTER PA

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
4303 JAMES CASEY ST
SUITE A
AUSTIN, TX
ZIP 78145
Phone: (512) 444-1414
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AUSTIN ENDOMETRIOSIS & FEMALE INFERTILITY CENTER PA is a gynecology obstetrics gynecology in Austin, TX. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee AUSTIN ENDOMETRIOSIS & FEMALE INFERTILITY CENTER PA NPI is 1710085089. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Austin Endometriosis & Fertility Center Pa.

The provider's business location address is:

4303 JAMES CASEY ST
SUITE A
AUSTIN, TX
ZIP 78145-188
Phone: (512) 444-1414
Fax: (512) 444-5621

The provider's authorized official is Keikhosrow M Kavoussi .
The authorized official title is Owner and has the following contact phone number (512) 444-1414.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/23/2008.


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
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyG2406TEXASNo
2207VG0400XObstetrics & GynecologyGynecologyG2406TEXASYes

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
1C17741MEDICARE UPIN
2097750603MEDICAIDTEXAS
300312UMEDICARE PINTEXAS

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: 4/28/2024

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