Organization
HEART SPACE HEALTH, INC.
Active
Other names
Within Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW KALUZA (CHIEF OPERATIONS OFFICER)
(254) 495-5048
Entity
Organization
Contact information
Practice address
612 W 22ND ST, AUSTIN, TX 78705-5104
(737) 226-2569
Mailing address
612 W 22ND ST, AUSTIN, TX 78705-5104
(737) 226-2569
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/25/2023
Last updated
11/07/2023
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