Organization
HOWERTON SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN M HAWTHORNE MD (MEDICAL DIRECTOR)
(512) 443-9715
Entity
Organization
Contact information
Practice address
2610 S INTERSTATE 35, AUSTIN, TX 78704-5703
(512) 443-9715
(512) 443-9845
Mailing address
2610 S INTERSTATE 35, AUSTIN, TX 78704-5703
(512) 443-9715
(512) 443-9845
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205808301
—
TX
01
—
ASC361
MEDICARE NUMBER
TX
Enumeration date
02/20/2008
Last updated
04/06/2017
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