WATERLOO MED CO NPI 1588964662

NPI Information

  • NPI: 1588964662
  • Provider Name: WATERLOO MED CO
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 6800 W GATE BLVD
    STE 132-309
    AUSTIN, TX
    ZIP 78745
  • Phone: (512) 767-2074

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NPI Details

WATERLOO MED CO is an emergency medicine in Austin, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. WATERLOO MED CO NPI is 1588964662. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6800 W GATE BLVD
STE 132-309
AUSTIN, TX
ZIP 78745-883
Phone: (512) 767-2074

The provider's authorized official is Jeffrey Goodloe .
The authorized official title is Ceo and has the following contact phone number (512) 767-2074.

The enumeration date for this NPI number is 10/23/2010 and was last updated on 10/29/2010.

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
1207P00000XEmergency MedicineK5965TEXASYes

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: 11/21/2025

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