| Austin Psychiatric Alliance, Pllc | |
|
4101 Parkstone Heights Dr Ste 360 Austin TX 78746-7482 | |
| (512) 637-9090 | |
| (512) 340-0096 |
| Full Name | Austin Psychiatric Alliance, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4101 Parkstone Heights Dr Ste 360, Austin, Texas |
| Authorized Official Name and Position | Mark Allen Esche (OWNER) |
| Authorized Official Contact | 5126379090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Psychiatric Alliance, Pllc 4101 Parkstone Heights Dr Ste 360 Austin TX 78746-7482 Ph: (512) 637-9090 | Austin Psychiatric Alliance, Pllc 4101 Parkstone Heights Dr Ste 360 Austin TX 78746-7482 Ph: (512) 637-9090 |
| NPI Number | 1053591339 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 09/03/2019 |
| Medicare PECOS PAC ID | 8921153909 |
|---|---|
| Medicare Enrollment ID | O20090826000728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053591339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | L3636 (Texas) | Secondary |
| Provider Name | David C Urrate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598872871 PECOS PAC ID: 5890751465 Enrollment ID: I20041206000395 |
| Provider Name | Mark A Esche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174622740 PECOS PAC ID: 3173580990 Enrollment ID: I20041214000291 |
| Provider Name | Camille A Watson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811096324 PECOS PAC ID: 5294784575 Enrollment ID: I20050113000293 |
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