Provider Demographics
NPI:1952552846
Name:HYPERBARICS OF AUSTIN
Entity Type:Organization
Organization Name:HYPERBARICS OF AUSTIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:C
Authorized Official - Last Name:KLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-681-1811
Mailing Address - Street 1:200 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1649
Mailing Address - Country:US
Mailing Address - Phone:843-681-1811
Mailing Address - Fax:843-689-7150
Practice Address - Street 1:4613 BEE CAVES RD
Practice Address - Street 2:SUITE106
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5212
Practice Address - Country:US
Practice Address - Phone:512-327-8008
Practice Address - Fax:512-327-8668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty