Organization
SATELLITE HEALTHCARE OF AUSTIN LLC
Active
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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