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SATELLITE HEALTHCARE OF AUSTIN LLC NPI 1477174951


NPI Information

NPI: 1477174951
Provider Name: SATELLITE HEALTHCARE OF AUSTIN LLC

Doing Business As: SATELLITE WELLBOUND AUSTIN

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
12176 N MO PAC EXPY STE A
AUSTIN, TX
ZIP 78758
Phone: (512) 833-6695
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SATELLITE HEALTHCARE OF AUSTIN LLC is an end-stage renal disease (esrd) treatment clinic center in Austin, TX. SATELLITE HEALTHCARE OF AUSTIN LLC NPI is 1477174951. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Wellbound Austin.

The provider's business location address is:

12176 N MO PAC EXPY STE A
AUSTIN, TX
ZIP 78758-908
Phone: (512) 833-6695
Fax: (512) 814-4386

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official - President & C and has the following contact phone number (214) 736-2700.

The enumeration date for this NPI number is 5/6/2020 and was last updated on 11/2/2023.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
1110576OTHERTEXASSTATE LICENSE

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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