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ST DAVIDS AUSTIN AREA ASC LLC NPI 1568979805


NPI Information

NPI: 1568979805
Provider Name: ST DAVIDS AUSTIN AREA ASC LLC

Doing Business As: ST . DAVID'S AUSTIN SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D2147876

Address:
12200 RENFERT WAY STE G-2
AUSTIN, TX
ZIP 78758
Phone: (512) 901-8340
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ST DAVIDS AUSTIN AREA ASC LLC is an ambulatory surgical clinic center in Austin, TX. ST DAVIDS AUSTIN AREA ASC LLC NPI is 1568979805. The provider is registered as an organization entity type.
The provider Is Doing Business As St . David's Austin Surgery Center.

The provider's business location address is:

12200 RENFERT WAY STE G-2
AUSTIN, TX
ZIP 78758-653
Phone: (512) 901-8340
Fax: (512) 901-8339

The provider's authorized official is William Gregory Swinney .
The authorized official title is Vp and has the following contact phone number (972) 789-2897.

The CLIA number assigned to this NPI record is 45D2147876 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2018 and was last updated on 1/9/2018.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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