# FOREST PARK MEDICAL CENTER AT AUSTIN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FPMC Austn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598173973
- **Authorized official:** WILTON M BURT (MANAGER)
- **Authorized official phone:** (469) 330-6745

## Contact information

- **Practice address:** 1201 W LOUIS HENNA BLVD, AUSTIN, TX 78728-1203
- **Practice address phone:** (512) 517-4159
- **Mailing address:** 9600 GREAT HILLS TRL, SUITE 150, AUSTIN, TX 78759-6387
- **Mailing address phone:** (512) 517-4159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2014
- **Last updated:** 07/29/2014
