Provider Demographics
NPI:1083236376
Name:SOUTH AUSTIN EMERGENCY CENTER, LLC
Entity Type:Organization
Organization Name:SOUTH AUSTIN EMERGENCY CENTER, LLC
Other - Org Name:SIGNATURE CARE EMERGENCY CENTER - SOUTH AUSTIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DARLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-699-3777
Mailing Address - Street 1:PO BOX 47073
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-7073
Mailing Address - Country:US
Mailing Address - Phone:832-699-3777
Mailing Address - Fax:
Practice Address - Street 1:5701 W SLAUGHTER LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-6527
Practice Address - Country:US
Practice Address - Phone:832-699-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty