Provider Demographics
NPI:1528005683
Name:HORIZON HEALTH AUSTIN, INC.
Entity Type:Organization
Organization Name:HORIZON HEALTH AUSTIN, INC.
Other - Org Name:AUSTIN LAKES HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-544-5030
Mailing Address - Street 1:1025 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2714
Mailing Address - Country:US
Mailing Address - Phone:512-544-5253
Mailing Address - Fax:
Practice Address - Street 1:1025 E 32ND ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2714
Practice Address - Country:US
Practice Address - Phone:512-544-5253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008552283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH6506OtherBLUE CROSS