Organization
SENIOR ADULTS SPECIALTY HEALTHCARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARON L WINSTON M.D. (OWNER)
(512) 476-3556
Entity
Organization
Contact information
Practice address
3215 STECK AVE, SUITE 200, AUSTIN, TX 78757-7566
(512) 476-3556
(512) 476-0195
Mailing address
3215 STECK AVE, SUITE 200, AUSTIN, TX 78757-7566
(512) 476-3556
(512) 476-0195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
TX
2084P0805X
Geriatric Psychiatry Physician
Primary
—
TX
363A00000X
Physician Assistant
—
TX
363L00000X
Nurse Practitioner
—
TX
364S00000X
Clinical Nurse Specialist
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019BV
BLUE CROSS
TX
05
—
080136702
—
TX
01
—
260034279
RAILROAD MEDICARE
TX
Enumeration date
08/02/2005
Last updated
07/21/2022
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