Provider Demographics
NPI:1750100798
Name:OSTEEN MCKAY MEDICAL PLLC
Entity type:Organization
Organization Name:OSTEEN MCKAY MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:AURORA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-387-3428
Mailing Address - Street 1:3616 FAR WEST BLVD # 117-154
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3082
Mailing Address - Country:US
Mailing Address - Phone:737-387-3428
Mailing Address - Fax:737-221-5793
Practice Address - Street 1:3616 FAR WEST BLVD # 117-154
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3082
Practice Address - Country:US
Practice Address - Phone:737-387-3428
Practice Address - Fax:737-221-5793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty