Organization
HEART SPACE HEALTH, INC
Active
Organization
HEART SPACE HEALTH, INC
Active
Other names
Within Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREW KALUZA (EXECUTIVE DIRECTOR)
(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
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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