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SOUTH AUSTIN REHABILITATION & WOUND CLINIC INC NPI 1932136256


NPI Information

NPI: 1932136256
Provider Name: SOUTH AUSTIN REHABILITATION & WOUND CLINIC INC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
1701 W BEN WHITE BLVD
SUITE 100B
AUSTIN, TX
ZIP 78704
Phone: (512) 440-1441
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SOUTH AUSTIN REHABILITATION & WOUND CLINIC INC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Austin, TX. SOUTH AUSTIN REHABILITATION & WOUND CLINIC INC NPI is 1932136256. The provider is registered as an organization entity type.

The provider's business location address is:

1701 W BEN WHITE BLVD
SUITE 100B
AUSTIN, TX
ZIP 78704-667
Phone: (512) 440-1441
Fax: (512) 440-1448

The provider's authorized official is Paul Jones .
The authorized official title is Administrator and has the following contact phone number (512) 440-1441.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10068KKOTHERTEXASBCBS OF TX

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: 5/5/2024

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