Provider Demographics
NPI:1013266832
Name:SENDERO HEALTH PLANS
Entity Type:Organization
Organization Name:SENDERO HEALTH PLANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-978-8202
Mailing Address - Street 1:2028 E BEN WHITE BLVD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-6966
Mailing Address - Country:US
Mailing Address - Phone:512-978-8855
Mailing Address - Fax:
Practice Address - Street 1:2028 E BEN WHITE BLVD
Practice Address - Street 2:SUITE 510
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-6966
Practice Address - Country:US
Practice Address - Phone:512-978-8855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization