Pediatrics Of South Austin, P.A.

LBN: Pediatrics Of South Austin, P.A.
Pediatrics Of South Austin, P.A. is an health care organization with primary practice located at 4007 James Casey St Suite D140, Austin TX 78745-3369. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatrics Of South Austin, P.A. can be contacted via phone (512) 443-3883, or through Hine, Peter W via phone (512) 443-3883.

Contact Information

Primary practice address
4007 James Casey St Suite D140 Austin TX 78745-3369
Phone: (512) 443-3883
Fax: (512) 445-6447
Website:
Map and Directions
Authorized official contact:
Name: Hine, Peter W Doctor of Medicine (MD)
Phone: (512) 443-3883

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1811968332
LBN Legal business name Pediatrics Of South Austin, P.A.
DBA Doing business as
Authorized official Hine, Peter W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Apr 24th, 2012 - about 12 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 1811968332 NPPES
Texas MEDICAID 084737801
Texas MEDICAID 018530801

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