Provider Demographics
NPI:1861815995
Name:EHI AUSTIN CLINIC, PLLC
Entity Type:Organization
Organization Name:EHI AUSTIN CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-738-0428
Mailing Address - Street 1:3107 OAK CREEK DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-3020
Mailing Address - Country:US
Mailing Address - Phone:512-244-7800
Mailing Address - Fax:
Practice Address - Street 1:3107 OAK CREEK DR
Practice Address - Street 2:SUITE 120
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-3020
Practice Address - Country:US
Practice Address - Phone:512-244-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0554213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty