Organization
ASCENSION SETON
Active
Other names
Dell Children's Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HOLLY (REGIONAL DIRECTOR NET REV & REIMB)
(512) 324-3269
Entity
Organization
Contact information
Practice address
4900 MUELLER BLVD # 4C024, AUSTIN, TX 78723-3079
(512) 324-0149
(512) 324-0756
Mailing address
4900 MUELLER BLVD # 4C.024, AUSTIN, TX 78723-3079
(512) 324-0149
(512) 324-0756
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
25543
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25543
BOARD OF PHARMACY LICENSE
TX
Enumeration date
05/09/2007
Last updated
08/06/2020
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