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Organization

DEPENDACARE OF AUSTIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDEE L HENDRIX (CEO)
(512) 944-9916
Entity
Organization

Contact information

Practice address
5321 INDUSTRIAL OAKS BLVD, SUITE # 121, AUSTIN, TX 78735-8822
(512) 892-0405
(512) 892-0431
Mailing address
5321 INDUSTRIAL OAKS BLVD, SUITE # 121, AUSTIN, TX 78735-8822
(512) 892-0405
(512) 892-0431

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
0071814
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0071814
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1662496-01
TX
Enumeration date
06/30/2005
Last updated
09/30/2010
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