Provider Demographics
NPI:1134291545
Name:AUSTIN CHILDREN'S CHEST ASSOCIATES, PA
Entity Type:Organization
Organization Name:AUSTIN CHILDREN'S CHEST ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-380-9200
Mailing Address - Street 1:3305 NORTHLAND DR
Mailing Address - Street 2:SUITE 512
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4961
Mailing Address - Country:US
Mailing Address - Phone:512-380-9200
Mailing Address - Fax:512-380-9201
Practice Address - Street 1:3305 NORTHLAND DR
Practice Address - Street 2:SUITE 512
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4961
Practice Address - Country:US
Practice Address - Phone:512-380-9200
Practice Address - Fax:512-380-9201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Single Specialty