Provider Demographics
NPI:1235797630
Name:AUSTIN GI SURGICENTER, LLC
Entity Type:Organization
Organization Name:AUSTIN GI SURGICENTER, LLC
Other - Org Name:AUSTIN ENDOSCOPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:SWINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-789-2877
Mailing Address - Street 1:3944 RANCH ROAD 620
Mailing Address - Street 2:BLDG 8, STE 103
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-7178
Mailing Address - Country:US
Mailing Address - Phone:512-532-8000
Mailing Address - Fax:
Practice Address - Street 1:3944 RANCH ROAD 620 S STE 103
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-7178
Practice Address - Country:US
Practice Address - Phone:512-532-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-31
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical