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RIVERSIDE AUSTIN EMERGENCY CENTER LLC NPI 1003493784


NPI Information

NPI: 1003493784
Provider Name: RIVERSIDE AUSTIN EMERGENCY CENTER, LLC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

CLIA Number: 45D1053264

Address:
2020 E RIVERSIDE DR
AUSTIN, TX
ZIP 78741
Phone: (512) 877-9606
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RIVERSIDE AUSTIN EMERGENCY CENTER, LLC is an emergency care clinic center in Austin, TX. RIVERSIDE AUSTIN EMERGENCY CENTER, LLC NPI is 1003493784. The provider is registered as an organization entity type.

The provider's business location address is:

2020 E RIVERSIDE DR
AUSTIN, TX
ZIP 78741-325
Phone: (512) 877-9606

The provider's authorized official is Kraig Killough .
The authorized official title is Coo and has the following contact phone number (832) 230-8100.

The CLIA number assigned to this NPI record is 45D1053264 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2021 and was last updated on 3/27/2021.


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
1261QE0002XClinic/CenterEmergency CareYes

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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