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ELLIEMADEAUSTIN NPI 1447652243


NPI Information

NPI: 1447652243
Provider Name: ELLIEMADEAUSTIN

Doing Business As: NONE

Classification: Contractor - 171W00000X
Entity Type: Organization
Address:
1036 STOCKADE RANCH RD
PAIGE, TX
ZIP 78659
Phone: (512) 629-7416
Get Directions

ELLIEMADEAUSTIN is a contractor in Paige, TX. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). ELLIEMADEAUSTIN NPI is 1447652243. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As None.

The provider's business location address is:

1036 STOCKADE RANCH RD
PAIGE, TX
ZIP 78659-446
Phone: (512) 629-7416

The provider's authorized official is Elizabeth Tisdale .
The authorized official title is Owner and has the following contact phone number (512) 629-7416.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 9/23/2014.


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
1171W00000XContractorD8764589CALIFORNIAYes

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

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