Provider Demographics
NPI:1447791991
Name:MGA HEALTHCARE AUSTIN, INC.
Entity Type:Organization
Organization Name:MGA HEALTHCARE AUSTIN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-508-1883
Mailing Address - Street 1:3131 E CAMELBACK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4500
Mailing Address - Country:US
Mailing Address - Phone:602-508-1883
Mailing Address - Fax:
Practice Address - Street 1:9737 GREAT HILLS TRL
Practice Address - Street 2:STE. 120
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6417
Practice Address - Country:US
Practice Address - Phone:512-872-2180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health