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Organization

AUSTIN REGIONAL CLINIC, PA

Active
Other names
ARC - Leander
Organization subpart
No

Provider details

NPI number
Authorized official
ANAS DAGHESTANI MD (CEO/PRESIDENT)
(512) 231-5500
Entity
Organization

Contact information

Practice address
901 CRYSTAL FALLS PKWY STE 103, LEANDER, TX 78641-1931
(512) 259-2198
(512) 406-7374
Mailing address
6210 E US HWY 290, SUITE 420 - CREDENTIALING, AUSTIN, TX 78723-1098
(512) 338-3802
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1333940-07
TX
Enumeration date
11/07/2018
Last updated
02/20/2019
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