Organization
SATELLITE HEALTHCARE OF AUSTIN LLC
Active
Other names
Satellite WellBound Cedar Park
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL - PRESIDENT & C)
(214) 736-2700
Entity
Organization
Contact information
Practice address
1515 MEDICAL PARKWAY, BUILDING 3 SUITE 300, CEDAR PARK, TX 78613-2776
(737) 766-4120
(512) 528-0337
Mailing address
300 SANTANA ROW STE 300, SAN JOSE, CA 95128-2424
(650) 404-3600
(650) 625-6007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110653
STATE LICENSE
TX
Enumeration date
02/11/2022
Last updated
11/02/2023
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