Organization
AUSTIN SPORTS MEDICINE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M GUZZINO (ADMINISTRATOR)
(512) 450-1300
Entity
Organization
Contact information
Practice address
900 W 38TH ST, SUITE 300, AUSTIN, TX 78705-1130
(512) 450-1300
(512) 450-1339
Mailing address
900 W 38TH ST, SUITE 300, AUSTIN, TX 78705-1130
(512) 450-1300
(512) 450-1339
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079884501
—
TX
01
—
1278600001
MEDICARE DME SUPPLIER #
TX
Enumeration date
01/24/2006
Last updated
02/07/2013
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