# AUSTIN REGIONAL CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ARC - Wilson Parke
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275099764
- **Authorized official:** ANAS DAGHESTANI MD (CEO/PRESIDENT)
- **Authorized official phone:** (512) 231-5500

## Contact information

- **Practice address:** 11714 WILSON PARK AVE, STE 150, AUSTIN, TX 78726-4061
- **Practice address phone:** (737) 247-7200
- **Practice address fax:** (512) 406-7366
- **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:** 02/20/2019
- **Last updated:** 02/20/2019