# AIDS SERVICES OF AUSTIN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jack Sansing Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760500078
- **Authorized official:** JEANNIE NELSON (DIRECTOR OF DENTAL SERVICES)
- **Authorized official phone:** (512) 900-3471

## Contact information

- **Practice address:** 711 W. 38TH ST., SUITE E-4, AUSTIN, TX 78705
- **Practice address phone:** (512) 479-6633
- **Practice address fax:** (512) 479-6617
- **Mailing address:** PO BOX 4874, AUSTIN, TX 78765
- **Mailing address phone:** (512) 458-2437
- **Mailing address fax:** (512) 452-3299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 05/19/2016