Organization
SATELLITE HEALTHCARE OF AUSTIN LLC
Active
Other names
Satellite Healthcare Tech Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARDO (GENERAL COUNSEL AND SECRETARY)
(425) 213-9398
Entity
Organization
Contact information
Practice address
1100 CENTER RIDGE DRIVE, BUILDING 2 SUITE 200, AUSTIN, TX 78753-1061
(669) 236-5947
(650) 625-6007
Mailing address
300 SANTANA ROW STE 300, SAN JOSE, CA 95128-2424
(669) 236-5947
(650) 625-6007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110641
STATE LICENSE
TX
Enumeration date
07/20/2021
Last updated
11/01/2023
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