| Austin Epilepsy Care Center | |
|
2200 Park Bend Dr Bldg 2 Ste 203 Austin TX 78758-5387 | |
| (512) 339-8831 | |
| (512) 339-8841 |
| Full Name | Austin Epilepsy Care Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2200 Park Bend Dr, Austin, Texas |
| Authorized Official Name and Position | Sami M Aboumatar (OWNER) |
| Authorized Official Contact | 5123398831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Epilepsy Care Center 2200 Park Bend Dr Bldg 2 Ste 203 Austin TX 78758-5387 Ph: (512) 339-8831 | Austin Epilepsy Care Center 2200 Park Bend Dr Bldg 2 Ste 203 Austin TX 78758-5387 Ph: (512) 339-8831 |
| NPI Number | 1801825716 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 11/15/2007 |
| Medicare PECOS PAC ID | 1052218088 |
|---|---|
| Medicare Enrollment ID | O20031217000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801825716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | L6748 (Texas) | Primary |
| Provider Name | Sami Aboumatar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760445407 PECOS PAC ID: 0648177675 Enrollment ID: I20031217000716 |
| Provider Name | Nabil J Azar |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1972644391 PECOS PAC ID: 8325131675 Enrollment ID: I20181119000173 |
| Provider Name | Victor H Gonzalez Montoya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245467638 PECOS PAC ID: 0749420057 Enrollment ID: I20211222000762 |
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