| NPI | 1083938765 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2010-03-24 |
| Last Updated | 2024-10-11 |
| Authorized Official | Peter Blach Officer/Authorized Official Phone: 7133430832 |
| Mailing Address | 1301 W 38th St, Ste 109 Austin, TX 78705-1010 United States Phone: (512) 354-3000 | Fax: (512) 354-3009 📍 View Map |
| Primary Practice Address | 1301 W 38th St, Ste 109 Austin, TX 78705-1000 United States Phone: (512) 354-3000 | Fax: (512) 354-3009 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 2945552 | - |
| Other (non-Medicare) | TX | P00928912 | Railroad Medicare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QA1903X – Clinic/Center, Ambulatory Surgical | TX | 130050 |
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About NPI 1083938765
Medical Park Tower Surgery Center, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083938765. The primary specialty listed is Clinic/Center, Ambulatory Surgical. The organization is located in Austin, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-03-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083938765?
NPI 1083938765 belongs to Medical Park Tower Surgery Center, Llc, a Clinic/Center, Ambulatory Surgical in Austin, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083938765 active?
The current status of NPI 1083938765 in the NPPES registry is Active. The record was last updated on 2024-10-11.
What specialty is NPI 1083938765?
NPI 1083938765 is classified under the taxonomy Clinic/Center, Ambulatory Surgical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083938765?
You can verify NPI 1083938765 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083938765?
The primary practice address on file for NPI 1083938765 is 1301 W 38th St, Austin, TX 78705-1000. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083938765 issued?
NPI 1083938765 was first issued (enumerated) on 2010-03-24. The NPPES record was last updated on 2024-10-11.
Practice Location Map
Medical Park Tower Surgery Center, Llc is located at 1301 W 38th St, Austin, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Medical Park Tower Surgery Center, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083938765. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Ambulatory Surgical | 130050 | TX |