NORTH AUSTIN FAMILY MEDICINE PA NPI 1710196332

NPI Information

NORTH AUSTIN FAMILY MEDICINE, PA is a family medicine in Austin, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTH AUSTIN FAMILY MEDICINE, PA NPI is 1710196332. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11671 JOLLYVILLE RD
SUITE 203
AUSTIN, TX
ZIP 78759-139
Phone: (512) 338-5150
Fax: (512) 338-5155

The provider's authorized official is John Bangston .
The authorized official title is President and has the following contact phone number (512) 338-5150.

The CLIA number assigned to this NPI record is 45D0979958 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/21/2007 and was last updated on 5/1/2009.

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

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