Organization
AUSTIN INFECTIOUS DISEASE CONSULTANTS, PA 080191
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANA MARES CMM (PRACTICE MANAGER)
(512) 593-7902
Entity
Organization
Contact information
Practice address
1301 W 38TH ST STE 403, AUSTIN, TX 78705-1013
(512) 459-0301
(512) 459-9701
Mailing address
1301 W 38TH ST, STE 403, AUSTIN, TX 78705-1000
(512) 459-0301
(512) 459-9701
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F59E
BCBS
TX
05
—
1216884802
—
TX
Enumeration date
08/31/2006
Last updated
12/09/2021
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