AUSTIN REGIONAL CLINIC, PA (NPI# 1124323845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124323845 |
| Entity Type | Organization |
| Organization Name | AUSTIN REGIONAL CLINIC, PA |
| Other Organization Name | ARC - SOUTH 1ST |
| Practice Address |
3828 S. 1st St Austin TX 78704-7048 |
| Mailing Address |
6210 E Us Hwy 290 Suite 420 - Credentialing Austin TX 78723-1098 |
| Practice Telephone | 5124431311 |
| Practice Fax Number | 5124066266 |
| Mailing Telephone | 5123383802 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | ANAS DAGHESTANI (CEO/PRESIDENT) |
| Authorized Official Telephone | 5122315500 |
| 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 |
| Other Name | Type Code |
|---|---|
| ARC - South 1st | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1053963025 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2019-07-10 |
| 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 |
3828 S. 1ST ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| 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 |
|---|---|---|---|---|
| 1982210548 | Pro Med Supplies LLC | Durable Medical Equipment & Medical Supplies | 8617 Spicewood Springs Rd Apt 246, Austin, TX 78759-4358 | 2020-09-18 |
| 1770109308 | Onyx Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2512 S Ih 35 Ste 130, Austin, TX 78704-5750 | 2020-06-19 |
| 1467076802 | Affordable Dme LLC | Durable Medical Equipment & Medical Supplies | 2121 E Oltorf St Ste 2, Austin, TX 78741-4559 | 2020-06-02 |
| 1518589571 | Lotus Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2109 Fortview Rd, Austin, TX 78704-7511 | 2020-05-13 |
| 1639790066 | Fortify Medical Devices & Supplies | Durable Medical Equipment & Medical Supplies | 2106 W Ben White Blvd, Austin, TX 78704-7521 | 2020-04-27 |
| 1235760620 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-02-04 |
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1548813660 | 360 Wound Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 10713 N Ranch Road 620 Ste 513, Austin, TX 78726-1771 | 2019-07-17 |
| 1437701067 | Fitmelon LLC | Durable Medical Equipment & Medical Supplies | 4201 Monterey Oaks Blvd Apt 1316, Austin, TX 78749-1031 | 2019-07-13 |
| 1508424409 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2500 W Parmer Ln Ste 120, Austin, TX 78727-4232 | 2019-06-05 |
| Find all providers in AUSTIN | ||||
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.