PSA AMBULATORY SURGICAL CENTER OF SOUTH AUSTIN LLC NPI 1770223901

NPI Information

NPI: 1770223901
Provider Name: PSA AMBULATORY SURGICAL CENTER OF SOUTH AUSTIN, LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 45D2280377
Address: 701 E FM 1626 STE 300
AUSTIN, TX
ZIP 78748
Phone: (855) 876-7246

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NPI Details

PSA AMBULATORY SURGICAL CENTER OF SOUTH AUSTIN, LLC is an ambulatory surgical clinic center in Austin, TX. PSA AMBULATORY SURGICAL CENTER OF SOUTH AUSTIN, LLC NPI is 1770223901. The provider is registered as an organization entity type.

The provider's business location address is:

701 E FM 1626 STE 300
AUSTIN, TX
ZIP 78748-656
Phone: (855) 876-7246
Fax: (855) 277-5070

The provider's authorized official is Angela Opalak .
The authorized official title is Vp Of Rcm and has the following contact phone number (512) 485-7200.

The CLIA number assigned to this NPI record is 45D2280377 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2022 and was last updated on 9/4/2024.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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
1	6F5700	OTHER	TEXAS	MEDICARE PTAN
2	130623	OTHER	TEXAS	STATE OF TEXAS

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: 3/30/2025

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