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AUSTIN EPILEPSY CARE CENTER NPI 1801825716


NPI Information

NPI: 1801825716
Provider Name: AUSTIN EPILEPSY CARE CENTER
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 45D2056373

Address:
2200 PARK BEND DR
BLDG 2 STE 203
AUSTIN, TX
ZIP 78758
Phone: (512) 339-8831
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AUSTIN EPILEPSY CARE CENTER is a neurology psychiatry neurology in Austin, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. AUSTIN EPILEPSY CARE CENTER NPI is 1801825716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 PARK BEND DR
BLDG 2 STE 203
AUSTIN, TX
ZIP 78758-387
Phone: (512) 339-8831
Fax: (512) 339-8841

The provider's authorized official is Sami M Aboumatar .
The authorized official title is Owner and has the following contact phone number (512) 339-8831.

The CLIA number assigned to this NPI record is 45D2056373 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 11/15/2007.


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
12084N0400XPsychiatry & NeurologyNeurologyL6748TEXASYes

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
1I35983MEDICARE UPIN
200888VMEDICARE ID-TYPE UNSPECIFIEDTEXASGROUP ID NUMBER
3F94578MEDICARE UPIN

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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