| Babylon Healthcare, Pllc | |
|
2500 Bee Caves Rd. Bldg 1 Ste 400 Austin TX 78746-5888 | |
| (800) 475-6168 | |
| (844) 943-1026 |
| Full Name | Babylon Healthcare, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 Bee Caves Rd., Austin, Texas |
| Authorized Official Name and Position | Stephen Chen (LEGAL COUNSEL) |
| Authorized Official Contact | 8326061522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Babylon Healthcare, Pllc 2500 Bee Caves Rd. Bldg 1 Ste 400 Austin TX 78746-5888 Ph: (800) 475-6168 | Babylon Healthcare, Pllc 2500 Bee Caves Rd. Bldg 1 Ste 400 Austin TX 78746-5888 Ph: (800) 475-6168 |
| NPI Number | 1235764564 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Medicare PECOS PAC ID | 6103233580 |
|---|---|
| Medicare Enrollment ID | O20210331002023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235764564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark Wayne Shen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508826405 PECOS PAC ID: 0446346399 Enrollment ID: I20071023000703 |
| Provider Name | Samuel J Collier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508064114 PECOS PAC ID: 9830229202 Enrollment ID: I20110926000410 |
| Provider Name | Sara Melissa Saginaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790072676 PECOS PAC ID: 3476701939 Enrollment ID: I20120907000480 |
| Provider Name | Rajesh Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205029287 PECOS PAC ID: 9234276163 Enrollment ID: I20121108000520 |
| Provider Name | William Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609010958 PECOS PAC ID: 7214184985 Enrollment ID: I20140506001945 |
| Provider Name | Jane Thu Himmelvo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235170440 PECOS PAC ID: 9830198977 Enrollment ID: I20170718001516 |
| Provider Name | Traci Lynne French |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801842414 PECOS PAC ID: 3971523903 Enrollment ID: I20170920001065 |
| Provider Name | Daniel K Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477813939 PECOS PAC ID: 2466747480 Enrollment ID: I20210203002718 |
| Provider Name | Alba Lara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073047767 PECOS PAC ID: 2961800743 Enrollment ID: I20211008000299 |
| Provider Name | Jennifer Bupp Meko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568530178 PECOS PAC ID: 5496790743 Enrollment ID: I20211027000484 |
| Provider Name | Thomas Mckellar Mccloy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366704710 PECOS PAC ID: 1456576255 Enrollment ID: I20211028000047 |
| Provider Name | Wasim Mansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649627696 PECOS PAC ID: 0547593667 Enrollment ID: I20211103003157 |
| Provider Name | Michael Catausan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932326071 PECOS PAC ID: 0143312694 Enrollment ID: I20211117001266 |
| Provider Name | Tahera Azharuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720265754 PECOS PAC ID: 4981849270 Enrollment ID: I20211122001213 |
| Provider Name | Bethany Miriya Thacker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316483209 PECOS PAC ID: 4486044351 Enrollment ID: I20211208001259 |
| Provider Name | Charles William Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780652792 PECOS PAC ID: 0941210314 Enrollment ID: I20220321000042 |
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