Provider Demographics
NPI:1083954853
Name:AUSTIN PRIMARY CARE PHYSICIANS
Entity Type:Organization
Organization Name:AUSTIN PRIMARY CARE PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONDRASEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-652-0050
Mailing Address - Street 1:11901 W. PARMER LANE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613
Mailing Address - Country:US
Mailing Address - Phone:512-652-0050
Mailing Address - Fax:512-652-0091
Practice Address - Street 1:11901 W PARMER LN
Practice Address - Street 2:SUITE 300
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7651
Practice Address - Country:US
Practice Address - Phone:512-652-0050
Practice Address - Fax:512-652-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9669305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service