AUSTIN REGIONAL CLINIC, PA (NPI# 1528694999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528694999 |
| Entity Type | Organization |
| Organization Name | AUSTIN REGIONAL CLINIC, PA |
| Practice Address |
940 W University Ave Suite 101 Georgetown TX 78626-6503 |
| Mailing Address |
6210 E Us Hwy 290 Suite 420 - Credentialing Austin TX 78723-1098 |
| Practice Telephone | 5128190264 |
| Practice Fax Number | 5124066242 |
| Mailing Telephone | 5123383802 |
| Mailing Fax Number | 5124066212 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | ANAS DAGHESTANI (CEO/PRESIDENT) |
| 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 | 1333940-07 | 05 |
| Other Name | Type Code |
|---|---|
| ARC - Georgetown | 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 |
| 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 |
| 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 |
940 W UNIVERSITY AVE SUITE 101 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| 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 |
|---|---|---|---|---|
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1649716085 | Mathes Pharmacy Store 2 Inc | Durable Medical Equipment & Medical Supplies | 1044 N Luther Rd, Georgetown, IN 47122-9122 | 2017-01-09 |
| 1043627193 | Tidewater Medical, Inc. | Durable Medical Equipment & Medical Supplies | 64 Central St, Georgetown, MA 01833-2423 | 2014-07-21 |
| 1245679612 | Hb Enterprise Inc | Durable Medical Equipment & Medical Supplies | 2506 Prince St, Georgetown, SC 29440-2930 | 2013-06-19 |
| 1407291982 | Georgetown Apothecary Pllc | Durable Medical Equipment & Medical Supplies | 1002 S Broadway St Ste 7, Georgetown, KY 40324-1463 | 2013-05-09 |
| 1730412362 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 926 S Broadway St, Georgetown, KY 40324-1471 | 2009-09-15 |
| 1467684712 | Arden Innovations | Durable Medical Equipment & Medical Supplies | 1280 County Road 100, Georgetown, TX 78626-2255 | 2009-08-20 |
| 1164663787 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1220 W University Ave, Georgetown, TX 78628-5333 | 2009-03-11 |
| 1730329277 | Ingram Pharmacy Pllc Dba Hometown Pharmacy | Durable Medical Equipment & Medical Supplies | 1502 Oxford Dr Ste 150, Suite 150, Georgetown, KY 40324-8095 | 2009-02-24 |
| 1891961157 | Merton Medical | Durable Medical Equipment & Medical Supplies | 4311 Miramar Dr, Georgetown, TX 78628-1357 | 2008-05-06 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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| 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.