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Organization
AUSTIN REGIONAL CLINIC, PA
Active
Organization
AUSTIN REGIONAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAS DAGHESTANI MD (PRESIDENT/CEO)
(512) 419-0707
Entity
Organization
Contact information
Practice address
27600 RANCH ROAD 12, BLDG 1, DRIPPING SPRINGS, TX 78620-5612
(512) 829-9118
(512) 406-7301
Mailing address
6210 E US HWY 290, SUITE 420-CREDENTIALING, AUSTIN, TX 78723-1098
(512) 338-3802
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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