Provider Demographics
NPI:1952522211
Name:SURGICAL HOSPITAL OF AUSTIN
Entity Type:Organization
Organization Name:SURGICAL HOSPITAL OF AUSTIN
Other - Org Name:AUSTIN SURGICAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:COPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-314-3822
Mailing Address - Street 1:3003 BEE CAVE RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5542
Mailing Address - Country:US
Mailing Address - Phone:512-314-3822
Mailing Address - Fax:
Practice Address - Street 1:3003 BEE CAVE RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5542
Practice Address - Country:US
Practice Address - Phone:512-314-3822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH0593OtherBLUE CROSS