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ST. EDWARDS UNIVERSITY NPI 1174991251


NPI Information

NPI: 1174991251
Provider Name: ST. EDWARDS UNIVERSITY
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 45D2226900

Address:
3001 S CONGRESS AVE
AUSTIN, TX
ZIP 78704
Phone: (512) 448-8535
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ST. EDWARDS UNIVERSITY is a health service clinic center in Austin, TX. ST. EDWARDS UNIVERSITY NPI is 1174991251. The provider is registered as an organization entity type.

The provider's business location address is:

3001 S CONGRESS AVE
AUSTIN, TX
ZIP 78704-425
Phone: (512) 448-8535

The provider's authorized official is Calvin Kelly .
The authorized official title is Director Of Health & Counseling and has the following contact phone number (512) 448-8535.

The CLIA number assigned to this NPI record is 45D2226900 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2015 and was last updated on 9/8/2015.


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
1261QH0100XClinic/CenterHealth ServiceYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.