Organization
AASASTAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA LINSALATA CRNFA (PRESIDENT)
(512) 497-4092
Entity
Organization
Contact information
Practice address
9600 ESCARPMENT BLVD, SUITE 745, #200, AUSTIN, TX 78749-1982
(512) 497-4092
(512) 280-2207
Mailing address
9600 ESCARPMENT BLVD, SUITE 745, #200, AUSTIN, TX 78749-1982
(512) 497-4092
(512) 280-2207
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
621637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346540440
NPI TYPE 2
TX
01
—
1730260589
NPI TYPE 1
TX
Enumeration date
10/12/2016
Last updated
10/12/2016
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