1023238912 NPI number — THE HAND CLINIC OF AUSTIN, P.C.

Table of content: (NPI 1023238912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023238912 NPI number — THE HAND CLINIC OF AUSTIN, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE HAND CLINIC OF AUSTIN, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023238912
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 684986
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78768-4986
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-444-4263
Provider Business Mailing Address Fax Number:
512-444-4264

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1825 FORTVIEW RD
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78704-7654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-444-4263
Provider Business Practice Location Address Fax Number:
512-444-4264
Provider Enumeration Date:
04/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ZUMBERGE
Authorized Official First Name:
ROBIN
Authorized Official Middle Name:
MEREDITH
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
512-444-4263

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  209461 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X , with the licence number: 108586 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X , with the licence number: 111819 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225XH1200X , with the licence number: 104110579 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225XH1200X , with the licence number: 201011134 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0A5012 . This is a "MEDICARE PTAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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