Provider Demographics
NPI:1265044333
Name:USA EMERGENCY CENTERS - SOUTH AUSTIN LLC
Entity Type:Organization
Organization Name:USA EMERGENCY CENTERS - SOUTH AUSTIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GOVERNING BOARD MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-451-0911
Mailing Address - Street 1:5525 BURNET RD STE A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-1646
Mailing Address - Country:US
Mailing Address - Phone:512-465-2041
Mailing Address - Fax:
Practice Address - Street 1:8721 MENCHACA RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5308
Practice Address - Country:US
Practice Address - Phone:512-371-0911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
1558624288OtherNPPES
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1346521853OtherNPPES
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