Organization
AUSTIN REGIONAL CLINIC, PA
Active
Other names
ARC- Center Street
Organization subpart
No
Provider details
NPI number
Authorized official
JAY R ZDWNEK DO (CHIEF MEDICAL OFFICER)
(512) 231-5500
Entity
Organization
Contact information
Practice address
22420 IH 35, STE 203, KYLE, TX 78640-2656
(737) 404-0347
(512) 406-6295
Mailing address
6210 E US HWY 290, SUITE 420- CREDENTIALING, AUSTIN, TX 78723-1098
(512) 338-3802
(512) 406-6212
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1333940-07
—
TX
Enumeration date
09/30/2020
Last updated
09/30/2020
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