Organization
AUSTIN RETINA ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE COLLINS (C.E.O.)
(512) 451-0103
Entity
Organization
Contact information
Practice address
801 W 38TH ST STE 200, AUSTIN, TX 78705-1169
(512) 451-0103
(512) 451-2741
Mailing address
1512 W 35TH ST STE 200, AUSTIN, TX 78703-1437
(512) 451-0103
(512) 451-2741
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00LK94
BCBS TX
TX
05
—
083945801
—
TX
01
—
CP8063
RAILROAD MEDICARE
TX
Enumeration date
02/06/2006
Last updated
05/23/2023
Update your record
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