Atx Pedo Pllc

LBN: Atx Pedo Pllc
Atx Pedo Pllc is an health care organization with primary practice located at 1217 W Slaughter Ln Ste 140 , Austin TX 78748-6577. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Atx Pedo Pllc can be contacted via phone (512) 643-8900, or through Delacruz, Sarah Theresa via phone (512) 774-7833.

Contact Information

Primary practice address
1217 W Slaughter Ln Ste 140 Austin TX 78748-6577
Phone: (512) 643-8900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Delacruz, Sarah Theresa
Phone: (512) 774-7833

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1043873854
LBN Legal business name Atx Pedo Pllc
DBA Doing business as
Authorized official Delacruz, Sarah Theresa
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2019
Last updated Apr 17th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043873854 NPPES
Texas MEDICAID 286329203

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