Provider Demographics
NPI:1972592111
Name:AUSTIN FAMILY MEDICAL CLINIC, P.A.
Entity Type:Organization
Organization Name:AUSTIN FAMILY MEDICAL CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SCHINDELER-TRACHTA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:512-326-5210
Mailing Address - Street 1:4007 JAMES CASEY ST
Mailing Address - Street 2:SUITE C250A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-3369
Mailing Address - Country:US
Mailing Address - Phone:512-326-5210
Mailing Address - Fax:512-326-5307
Practice Address - Street 1:5721 MISTY HILL CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6248
Practice Address - Country:US
Practice Address - Phone:512-326-5210
Practice Address - Fax:512-326-5307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3467207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH90676Medicare UPIN