AUSTIN REGIONAL CLINIC, PA (NPI# 1053963025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053963025 |
| Entity Type | Organization |
| Organization Name | AUSTIN REGIONAL CLINIC, PA |
| Practice Address |
2100 Autumn Slate Dr Ste 150 Pflugerville TX 78660-6034 |
| Mailing Address |
6210 E Us Hwy 290 Suite 420 - Credentialing Austin TX 78723-1098 |
| Practice Telephone | 7372207200 |
| Practice Fax Number | 5124067339 |
| Mailing Telephone | 5123383802 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | ANAS DAGHESTANI (PRESIDENT/CEO) |
| Authorized Official Telephone | 5124190707 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1333940-03 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746413 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 22420 Ih 35, Ste 203, Kyle, TX 78640-2656 | 2020-09-30 |
| 1528694999 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 940 W University Ave, Suite 101, Georgetown, TX 78626-6503 | 2020-03-18 |
| 1639713282 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 27600 Ranch Road 12, Bldg 1, Dripping Springs, TX 78620-5612 | 2019-11-06 |
| 1538726542 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 15801 W Highway 71, Bldg 1, Bee Cave, TX 78738-2708 | 2019-05-24 |
| 1295291789 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 11300 E Hwy 390, Bldg 2, Ste 230, Manor, TX 78653-0397 | 2019-02-20 |
| 1568930584 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 901 Crystal Falls Pkwy Ste 103, Leander, TX 78641-1931 | 2018-11-07 |
| 1124323845 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 3828 S. 1st St, Austin, TX 78704-7048 | 2011-01-12 |
| 1679878391 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 1807 Slaughter Ln, Suite 490, Austin, TX 78748-6237 | 2011-01-12 |
| 1821157579 | Austin Regional Clinic, Pa | Allergy & Immunology | 6210 E Us Hwy 290, Suite 420 - Credentialing, Austin, TX 78723-1098 | 2006-12-08 |
| 1386201309 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 1025 Sendero Springs Dr Ste 120, Round Rock, TX 78681-1154 | 2019-05-24 |
| Street Address |
2100 AUTUMN SLATE DR STE 150 |
| City | PFLUGERVILLE |
| State | TX |
| Zip Code | 78660-6034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154386829 | Jerett Aaron Zipin | Neuromusculoskeletal Medicine, Sports Medicine | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660 | 2006-04-18 |
| 1083094593 | Travis Michael Averitt | Family Medicine | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2015-06-01 |
| 1265879332 | Noreen Valla | Family Medicine | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2013-05-30 |
| 1598109480 | Ryan Paul Peterson | Pediatrics | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2013-04-22 |
| 1992711261 | Judith W Enders | Pediatrics | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2006-07-31 |
| 1619983954 | Anna E Holliman | Pediatrics | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912438 | Swish Dental Pfluggerville, PC | Dentist | 18817 N Heatherwilde Blvd Bldg 1 Ste 100, Pflugerville, TX 78660 | 2020-08-10 |
| 1982225710 | Carpe Diem Primary Care | Clinic/Center | 201 Heatherwilde Blvd, Suite 300, Pflugerville, TX 78660 | 2020-05-04 |
| 1093357055 | Pflugerville Almc, LLC | Assisted Living Facility | 1020 E. Wells Branch Parkway, Pflugerville, TX 78660 | 2019-10-11 |
| 1275186264 | K Family Dentistry | Clinic/Center | 428 Grand Avenue Parkway, Suite150, Pflugerville, TX 78660 | 2019-07-19 |
| 1356901284 | Mary-ellen Pon | Counselor | 2001 Serentiy Drive, Pflugerville, TX 78660 | 2019-06-13 |
| 1194282087 | Leomie Enette Slaughter | Nurse's Aide | 14233 The Lakes Blvd #938, Pflugerville, TX 78660 | 2019-02-27 |
| 1992272850 | Soh of Texas Samson Liu Pllc | Dentist | 1616 Ftm 685 #103, Pflugerville, TX 78660 | 2018-10-30 |
| 1700360476 | Baylor Health Enterprises, L.p. | Pharmacy | 2600 E. Pflugerville Pkwy, Suite 1.200, Pflugerville, TX 78660 | 2018-09-19 |
| 1487135216 | Erin Rachael Abbott | Licensed Vocational Nurse | 608 Palitine Ln, Pflugerville, TX 78660 | 2018-08-29 |
| 1346729159 | Baylor Scott & White Medical Centers - Capitol Area | General Acute Care Hospital | 2600 E Pflugerville Pkwy, Ste 100, Pflugerville, TX 78660 | 2018-08-13 |
| Find all providers in zip 78660 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497174247 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1605 Wells Branch Pkwy, Pflugerville, TX 78660 | 2014-04-09 |
| 1134556756 | Adlakha Investments Inc | Durable Medical Equipment & Medical Supplies | 1615 Grand Avenue Pkwy Ste 104, Pflugerville, TX 78660 | 2013-09-27 |
| 1881020469 | Medical Warehouse Solutions Inc | Durable Medical Equipment & Medical Supplies | 2416 Butler National, Pflugerville, TX 78660 | 2013-09-16 |
| 1003102286 | Jamie Lee | Durable Medical Equipment & Medical Supplies | 1900 E Howard Ln, Suite C-2e, Pflugerville, TX 78660-8288 | 2011-06-25 |
| 1326355116 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1509 E Wells Branch Pkwy, Pflugerville, TX 78660-3679 | 2010-09-01 |
| 1972822674 | Bravo Dme LLC | Durable Medical Equipment & Medical Supplies | 902 Old Austin Hutto Rd, Suite 102, Pflugerville, TX 78660-4116 | 2010-05-20 |
| 1154551190 | Kmb Holdings Inc | Durable Medical Equipment & Medical Supplies | 1333 Sweet Leaf Ln, Pflugerville, TX 78660-7945 | 2009-07-24 |
| 1952558900 | Centex Easy Link Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 17433 Dornach Drive, Pflugerville, TX 78660-1704 | 2008-08-21 |
| 1528182466 | Kandie Medical Supply | Durable Medical Equipment & Medical Supplies | 17300 Dashwood Creek Dr, Pflugerville, TX 78660-5712 | 2007-03-18 |
| 1619007978 | Pflugerville Healthcare Solutions | Durable Medical Equipment & Medical Supplies | 606 Stansted Manor Dr, Pflugerville, TX 78660-8122 | 2007-03-06 |
| Find all providers in PFLUGERVILLE | ||||
| City | PFLUGERVILLE |
| Zip Code | 78660 |
Please comment or provide details below to improve the information on AUSTIN REGIONAL CLINIC, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.