Organization
NEUROSURGICAL SPECIALISTS OF AUSTIN, P.A.
Active
Other names
Austin Brain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE E MILLER (ADMINISTRATOR)
(512) 306-1323
Entity
Organization
Contact information
Practice address
800 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1142
(512) 306-1323
(512) 306-1142
Mailing address
801 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1167
(512) 306-1323
(512) 306-1142
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095BY
BLUE CROSS BLUE SHIELD
TX
05
—
112888602
—
TX
01
—
C14571
MEDICARE RAILROAD
TX
Enumeration date
11/27/2006
Last updated
07/24/2013
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