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Organization

CENTRAL TEXAS PALLIATIVE CARE ASSOCIATES

Active
Other names
Austin Palliative Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DESIREE EVANS TYRPAK (PRACTICE MANAGER)
(512) 342-4753
Entity
Organization

Contact information

Practice address
4107 SPICEWOOD SPRINGS RD STE 100, AUSTIN, TX 78759-8645
(512) 397-3360
(512) 343-7107
Mailing address
4107 SPICEWOOD SPRINGS RD STE 100, AUSTIN, TX 78759-8645
(512) 397-3360
(512) 343-7107

Taxonomy

Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
251G00000X
Community Based Hospice Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0078HJ
BLUE CROSS BLUE SHIELD
TX
05
165704101
TX
05
165704103
TX
Enumeration date
07/06/2006
Last updated
06/12/2024
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