Organization
LAKE TRAVIS ER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CAMPBELL (DIRECTOR OF PATIENT ACCESS)
(512) 948-1752
Entity
Organization
Contact information
Practice address
5012 RANCH ROAD 620 NORTH, AUSTIN, TX 78732
(512) 260-2732
Mailing address
1464 E WHITESTONE BLVD STE 1101, CEDAR PARK, TX 78613-9070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
02/11/2025
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