Organization
AUSTIN CHILDREN'S SHELTER
Active
Organization
AUSTIN CHILDREN'S SHELTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY FYE (DEPUTY DIRECTOR OF FINANCE)
(512) 499-0090
Entity
Organization
Contact information
Practice address
1501 ENFIELD RD, AUSTIN, TX 78703
(512) 499-0090
(512) 499-0438
Mailing address
804 RIO GRANDE ST STE C, AUSTIN, TX 78701-2201
(512) 499-0090
(512) 499-0438
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
596183
TX
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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