Provider Demographics
NPI:1164518403
Name:AUSTIN HOME MEDICAL EQUIP
Entity Type:Organization
Organization Name:AUSTIN HOME MEDICAL EQUIP
Other - Org Name:AUSTIN HOME MEDICAL EQUIPMENT, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:C
Authorized Official - Last Name:BURGIN
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:512-441-9800
Mailing Address - Street 1:1914 HOWARD LN STE H
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-7610
Mailing Address - Country:US
Mailing Address - Phone:512-441-9800
Mailing Address - Fax:512-441-9801
Practice Address - Street 1:1914 HOWARD LN STE H
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-7610
Practice Address - Country:US
Practice Address - Phone:512-441-9800
Practice Address - Fax:512-441-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0074429332B00000X, 332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4499550001Medicare ID - Type Unspecified