1740892801 NPI number — SATX EMERGENCY PHYSICIANS PLLC

Table of content: (NPI 1740892801)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740892801 NPI number — SATX EMERGENCY PHYSICIANS PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SATX EMERGENCY PHYSICIANS PLLC
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:
1740892801
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5525 BURNET RD STE A
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:
78756-1646
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-465-2041
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8721 MENCHACA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78748-5308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-371-0911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/20/2020

Additional Information

Authorized Official

Authorized Official Last Name:
ABELLO
Authorized Official First Name:
ARTHUR
Authorized Official Middle Name:
Authorized Official Title or Position:
GOVERNING BOARD MEMBER
Authorized Official Telephone Number:
512-451-0911

Provider Taxonomy Codes

  • Taxonomy code: 261QE0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1619396587 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1679834121 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1518144773 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1679833354 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1003043928 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1568717767 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1932454139 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1962646703 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1215220660 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1770876773 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1891737052 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1235334871 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346521853 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1295013282 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1376953653 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1558624288 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1114239571 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1578505657 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".




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