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AUSTIN REGIONAL CLINIC PA NPI 1821157579


NPI Information

NPI: 1821157579
Provider Name: AUSTIN REGIONAL CLINIC, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6210 E US HWY 290
SUITE 420 - CREDENTIALING
AUSTIN, TX
ZIP 78723
Phone: (512) 231-5516
Get Directions

AUSTIN REGIONAL CLINIC, 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. AUSTIN REGIONAL CLINIC, PA NPI is 1821157579. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6210 E US HWY 290
SUITE 420 - CREDENTIALING
AUSTIN, TX
ZIP 78723-098
Phone: (512) 231-5516
Fax: (512) 406-6216

The provider's authorized official is Anas Daghestani .
The authorized official title is Ceo/president and has the following contact phone number (512) 231-5500.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 2/28/2019.


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
1207K00000XAllergy & ImmunologyNo
2207N00000XDermatologyNo
3207R00000XInternal MedicineNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
5207RG0100XInternal MedicineGastroenterologyNo
6207RR0500XInternal MedicineRheumatologyNo
7207V00000XObstetrics & GynecologyNo
8207Y00000XOtolaryngologyNo
9207ZP0101XPathologyAnatomic PathologyNo
10208000000XPediatricsNo
11208600000XSurgeryNo
12213E00000XPodiatristNo
13363A00000XPhysician AssistantNo
14363L00000XNurse PractitionerNo
15207Q00000XFamily 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
1133394003MEDICAIDTEXAS
2210530601MEDICAIDTEXAS
3133394009MEDICAIDTEXAS
4133394007MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.