# M.D. ERA, LLC

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

## Provider details

- **NPI number:** 1689699563
- **Authorized official:** MR. MICHAEL A MATTINGLY CRT, RCP (PRESIDENT)
- **Authorized official phone:** (512) 554-8669

## Contact information

- **Practice address:** 6521 BURNET LN, SUITE 108, AUSTIN, TX 78757-2848
- **Practice address phone:** (512) 454-2727
- **Practice address fax:** (512) 454-2728
- **Mailing address:** 6521 BURNET LN, SUITE 108, AUSTIN, TX 78757-2848
- **Mailing address phone:** (512) 454-2727
- **Mailing address fax:** (512) 454-2728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0091015 | TX | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 04/20/2008
