Organization
SOUTH AUSTIN REHABILITATION & WOUND CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JONES (ADMINISTRATOR)
(512) 440-1441
Entity
Organization
Contact information
Practice address
1701 W BEN WHITE BLVD, SUITE 100B, AUSTIN, TX 78704-7667
(512) 440-1441
(512) 440-1448
Mailing address
1701 W BEN WHITE BLVD, SUITE 100B, AUSTIN, TX 78704-7667
(512) 440-1441
(512) 440-1448
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068KK
BCBS OF TX
TX
Enumeration date
06/26/2006
Last updated
08/22/2020
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