# AUSTIN REGIONAL CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ARC- Center Street
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235746413
- **Authorized official:** JAY R ZDWNEK DO (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (512) 231-5500

## Contact information

- **Practice address:** 22420 IH 35, STE 203, KYLE, TX 78640-2656
- **Practice address phone:** (737) 404-0347
- **Practice address fax:** (512) 406-6295
- **Mailing address:** 6210 E US HWY 290, SUITE 420- CREDENTIALING, AUSTIN, TX 78723-1098
- **Mailing address phone:** (512) 338-3802
- **Mailing address fax:** (512) 406-6212

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2020
- **Last updated:** 09/30/2020
