NPI 1801078241 · live from the CMS NPI Registry
Austin Children'S Shelter
Nurse Practitioner, Pediatrics in Austin, TX. National Provider Identifier 1801078241, active.
NPI record
| NPI | 1801078241 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1501 Enfield Rd, Austin, TX 78703 |
| Practice phone | 512-499-0090 |
| Mailing address | 804 Rio Grande St Ste C, Austin, TX 78701 |
| Enumerated | November 28, 2007 |
| Last updated | November 28, 2007 |
| Authorized official | Jerry Fye, Deputy Director Of Finance |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 596183 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.