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Organization

AUSTIN OTOLOGY ASSOCIATES PA

Active
Other names
Austin Ear Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICK W. SLATER II M.D. (PRESIDENT)
(512) 454-0341
Entity
Organization

Contact information

Practice address
12319 N MOPAC EXPY, BLDG C, SUITE 300, AUSTIN, TX 78758-2403
(512) 454-0341
(512) 454-9915
Mailing address
12319 N MOPAC EXPY, BLDG C, SUITE 300, AUSTIN, TX 78758-2403
(512) 454-0341
(512) 454-9915

Taxonomy

Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
K5006
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010CP
BCBS GROUP#
TX
01
047540201
MEDICAID IND. TPI
TX
05
079793801
TX
01
1467440180
SLATER IND. NPI
TX
01
1780691030
ERIN REHBERG IND. NPI
TX
01
1821275504
AMY GENSLER IND. NPI
TX
01
1942201579
KRISTIN ARMSTRONG IND. NPI
TX
01
87991G
BSBC SLATER IND#
TX
Enumeration date
03/10/2006
Last updated
05/22/2012
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