Organization
ARC RETAILCARE PLLC
Active
Other names
MinuteClinic Diagnostic of Austin LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI CARTER (ADMINISTRATOR)
(612) 225-1509
Entity
Organization
Contact information
Practice address
3500 W SLAUGHTER LANE, AUSTIN, TX 78749-4421
(401) 770-2751
(401) 652-9787
Mailing address
1 CVS DR, MINUTECLINIC CREDENTIALING 2100, WOONSOCKET, RI 02895-6146
(401) 770-2751
(401) 652-9787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO6161
MEDICARE RAILROAD
TX
Enumeration date
06/10/2006
Last updated
05/21/2010
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