Provider Demographics
NPI:1639460306
Name:TAWL HEALTH CARE- AUSTIN, LLC
Entity type:Organization
Organization Name:TAWL HEALTH CARE- AUSTIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-777-9171
Mailing Address - Street 1:314 E HIGHLAND MALL BLVD # 314
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3735
Mailing Address - Country:US
Mailing Address - Phone:512-610-2212
Mailing Address - Fax:512-610-2215
Practice Address - Street 1:314 E HIGHLAND MALL BLVD # 314
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-3735
Practice Address - Country:US
Practice Address - Phone:512-610-2212
Practice Address - Fax:512-610-2215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID