NPI 1902247125

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Organisation Preferred Provider Organization Austin, TX

Practice location

Address: 911 W 38th St Suite 400, Austin, TX 78705-1188
Phone: (210) 337-8453
Mailing address: 19296 Stone Oak Pkwy, San Antonio, TX 78258-3222

Authorised official

Name: Francisco Arredondo
Title: Medical Director
Phone: (210) 337-8453

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence N6672 (TX)

Other Preferred Provider Organization providers in Texas →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X

Registry record

NPI: 1902247125
Entity type: Organization
NPI issued: 16 Jul 2013
Record last updated: 16 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.