# AUSTIN REGIONAL CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053963025
- **Authorized official:** ANAS DAGHESTANI MD (PRESIDENT/CEO)
- **Authorized official phone:** (512) 419-0707

## Contact information

- **Practice address:** 2100 AUTUMN SLATE DR STE 150, PFLUGERVILLE, TX 78660-6034
- **Practice address phone:** (737) 220-7200
- **Practice address fax:** (512) 406-7339
- **Mailing address:** 6210 E US HWY 290, SUITE 420 - CREDENTIALING, AUSTIN, TX 78723-1098
- **Mailing address phone:** (512) 338-3802
- **Mailing address fax:** (512) 406-6216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2019
- **Last updated:** 07/10/2019