Provider Demographics
NPI:1144377458
Name:CENTRAL AUSTIN INTERNISTS
Entity Type:Organization
Organization Name:CENTRAL AUSTIN INTERNISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:COATS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-472-6791
Mailing Address - Street 1:1015 E 32ND ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2707
Mailing Address - Country:US
Mailing Address - Phone:512-472-6791
Mailing Address - Fax:512-472-2645
Practice Address - Street 1:1015 E 32ND ST
Practice Address - Street 2:SUITE 309
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2707
Practice Address - Country:US
Practice Address - Phone:512-472-6791
Practice Address - Fax:512-472-2645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4240207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD48124Medicare UPIN