Provider Demographics
NPI:1508462201
Name:POINT OF CARE HEALTH SERVICES
Entity Type:Organization
Organization Name:POINT OF CARE HEALTH SERVICES
Other - Org Name:POINT OF CARE HEALTH SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-784-7494
Mailing Address - Street 1:7000 NORTH MOPAC EXPRESSWAY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3054
Mailing Address - Country:US
Mailing Address - Phone:512-831-3660
Mailing Address - Fax:737-232-6284
Practice Address - Street 1:7000 NORTH MOPAC EXPRESSWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3054
Practice Address - Country:US
Practice Address - Phone:512-831-3660
Practice Address - Fax:737-232-6284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX20XPM7H00OtherHIN
TX45D2206020OtherCLIA