Provider Demographics
NPI:1932104577
Name:CENTRAL AUSTIN AMBULATORY SURGERY CENTER L.P.
Entity Type:Organization
Organization Name:CENTRAL AUSTIN AMBULATORY SURGERY CENTER L.P.
Other - Org Name:DBA CENTRAL PARK SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-439-5775
Mailing Address - Street 1:900 W 38TH ST
Mailing Address - Street 2:STE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1129
Mailing Address - Country:US
Mailing Address - Phone:512-323-2061
Mailing Address - Fax:
Practice Address - Street 1:900 W 38TH ST
Practice Address - Street 2:STE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1129
Practice Address - Country:US
Practice Address - Phone:512-323-2061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA1903X
TX261QA1903X261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXASC073Medicare ID - Type Unspecified