| Elizabeth C N Winful-acquaye, MD | |
|
Austin Regional Clinic, 12779 West Sh 29, Liberty Hill, TX 78642-6332 | |
| (512) 778-7003 | |
| (512) 406-7317 |
| Full Name | Elizabeth C N Winful-acquaye |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | Austin Regional Clinic, Liberty Hill, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497776991 | NPI | - | NPPES |
| 107763801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | L9963 (Texas) | Primary |
| Entity Name | Children's Physician Services Of South Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704 |
| Entity Name | Austin Regional Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
| Entity Name | Lone Star Circle Of Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891746970 PECOS PAC ID: 5193709392 Enrollment ID: O20040622000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth C N Winful-acquaye, MD 6210 E Hwy 290, Austin, TX 78723-1142 Ph: (512) 483-9596 | Elizabeth C N Winful-acquaye, MD Austin Regional Clinic, 12779 West Sh 29, Liberty Hill, TX 78642-6332 Ph: (512) 778-7003 |
Dr. Lan Anh Van-dinh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12779 W Sh 29, Liberty Hill, TX 78642 Phone: 512-778-7003 Fax: 512-406-7317 |