Organization
ST DAVIDS AUSTIN AREA ASC LLC
Active
Other names
St . David's Austin Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2897
Entity
Organization
Contact information
Practice address
12200 RENFERT WAY STE G-2, AUSTIN, TX 78758-5653
(512) 901-8340
(512) 901-8339
Mailing address
12200 RENFERT WAY STE G-2, AUSTIN, TX 78758-5653
(512) 901-8340
(512) 901-8339
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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