# CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OASIS AT AUSTIN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962810465
- **Authorized official:** MR. DAVID K BYROM (CEO)
- **Authorized official phone:** (254) 248-6301

## Contact information

- **Practice address:** 3509 ROGGE LN, AUSTIN, TX 78723-3640
- **Practice address phone:** (512) 926-2070
- **Practice address fax:** (512) 926-9570
- **Mailing address:** 3509 ROGGE LN, AUSTIN, TX 78723-3640
- **Mailing address phone:** (512) 926-2070
- **Mailing address fax:** (512) 926-9570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2014
- **Last updated:** 04/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004570 | — | TX |