AUSTIN REGIONAL CLINIC, PA (NPI# 1639713282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639713282 |
| Entity Type | Organization |
| Organization Name | AUSTIN REGIONAL CLINIC, PA |
| Practice Address |
27600 Ranch Road 12 Bldg 1 Dripping Springs TX 78620-5612 |
| Mailing Address |
6210 E Us Hwy 290 Suite 420-credentialing Austin TX 78723-1098 |
| Practice Telephone | 5128299118 |
| Practice Fax Number | 5124067301 |
| Mailing Telephone | 5123383802 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| 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 |
| 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 |
| 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 |
27600 RANCH ROAD 12 BLDG 1 |
| City | DRIPPING SPRINGS |
| State | TX |
| Zip Code | 78620-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659848943 | Corey Paul Devillier | Nurse Practitioner | 13830 Sawyer Ranch Rd Ste 102, Dripping Springs, TX 78620 | 2018-10-25 |
| 1023513751 | Southwest Austin Foot & Ankle Clinic | Podiatrist | 170 Benney Lane Ste 100, Dripping Springs, TX 78620 | 2018-03-26 |
| 1811405384 | Henly Community Clinic Pllc | Nurse Practitioner | 101 Hays St Ste 410, Dripping Springs, TX 78620 | 2018-01-17 |
| 1538674601 | Lifetime Recovery Academy Inc. | Clinic/Center | 13900 Sawyer Ranch Rd., Dripping Springs, TX 78620 | 2017-12-11 |
| 1639610421 | Dripping Springs Pediatric Dental, Pllc | Dentist | 2440 E Highway 290. Building C, Suite B, Dripping Springs, TX 78620 | 2017-03-14 |
| 1972059269 | Christine Kloppe | General Practice | 190 Easy St., Dripping Springs, TX 78620 | 2016-08-28 |
| 1750758355 | Blake Liles | Nurse Practitioner | 598 Us-290, Dripping Spring, TX 78620 | 2015-08-31 |
| 1407258775 | Rediclinic Austin, LLC | Clinic/Center | 598 E. Hwy Us 290, Dripping Springs, TX 78620 | 2014-09-18 |
| 1871904607 | Brenda Watkins | Dermatology | 170 Benney Ln Ste 203, Dripping Springs, TX 78620 | 2014-05-14 |
| 1043641657 | Elaine Brown | Counselor | 13900 Sawyer Ranch Rd, Dripping Springs, TX 78620 | 2013-12-06 |
| Find all providers in zip 78620 | ||||
| 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 |
|---|---|---|---|---|
| 1871132647 | Jonesen Design, LLC | Durable Medical Equipment & Medical Supplies | 415 Angel Fire Rd, Dripping Springs, TX 78620-2484 | 2019-12-27 |
| 1144715012 | Water Dog Consulting, LLC | Durable Medical Equipment & Medical Supplies | 1032 Canyon Bend Dr Ste C, Dripping Springs, TX 78620-5355 | 2018-06-24 |
| 1487895710 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 27495 Ranch Road 12, Dripping Springs, TX 78620-4904 | 2009-03-17 |
| 1033296124 | Christina K Mcmullen | Durable Medical Equipment & Medical Supplies | 200 Texas Longhorn Trl, Dripping Springs, TX 78620-3459 | 2006-11-01 |
| 1871061358 | Homespective Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1032 Canyon Bend Dr Ste C, Dripping Springs, TX 78620-5355 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467929 | Rgc Dme Repair Center | Durable Medical Equipment & Medical Supplies | 517 N. 10th Street, Mcallen, TX 78501-4511 | 2020-11-03 |
| 1063012805 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 129 Shahan Prairie Rd, Oak Point, TX 75068 | 2020-10-30 |
| 1285234468 | Slow Wave, Inc. | Durable Medical Equipment & Medical Supplies | 26100 Countryside Dr, Spicewood, TX 78669-1362 | 2020-10-28 |
| 1639779978 | Med9x Health Solutions Inc | Durable Medical Equipment & Medical Supplies | 808 S.shary Rd, Ste 5, #405, Mission, TX 78572-8569 | 2020-10-27 |
| 1740889005 | Clinical Tissue Technologies LLC | Durable Medical Equipment & Medical Supplies | 2921 Brown Trl # 101, Bedford, TX 76021-4144 | 2020-10-19 |
| 1245838960 | On Call Medical Services, LLC. | Durable Medical Equipment & Medical Supplies | 537 E Frontage Rd Ste A, Alamo, TX 78516-2336 | 2020-10-14 |
| 1396342143 | Bella Vida Dme, LLC. | Durable Medical Equipment & Medical Supplies | 2604 N Raul Longoria Rd Ste 104, San Juan, TX 78589-4212 | 2020-10-05 |
| 1194322099 | 3j Capital, LLC | Durable Medical Equipment & Medical Supplies | 11805 Interstate 27, Amarillo, TX 79119-3901 | 2020-10-04 |
| 1235746413 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 22420 Ih 35, Ste 203, Kyle, TX 78640-2656 | 2020-09-30 |
| 1205443371 | Bridgewater Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 603 Munger Ave Ste 1001011, Dallas, TX 75202-1839 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | DRIPPING SPRINGS |
| Zip Code | 78620 |
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.