Provider Demographics
NPI:1932587847
Name:PAHALA VENTURES LLC DBA AUSTIN EMERGENCY CENTER
Entity Type:Organization
Organization Name:PAHALA VENTURES LLC DBA AUSTIN EMERGENCY CENTER
Other - Org Name:AUSTIN EMERGENCY CENTER ANDERSON MILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-614-1200
Mailing Address - Street 1:13435 N US HIGHWAY 183 STE 311
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-3258
Mailing Address - Country:US
Mailing Address - Phone:512-614-1200
Mailing Address - Fax:
Practice Address - Street 1:13435 N US HIGHWAY 183
Practice Address - Street 2:SUITE 311
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-3218
Practice Address - Country:US
Practice Address - Phone:512-614-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care