| Central Texas Community Health Centers | |
|
1210 W Braker Ln Austin TX 78758-3801 | |
| (512) 978-9800 | |
| (122) 792-5565 |
| Full Name | Central Texas Community Health Centers |
|---|---|
| Speciality | Family Medicine |
| Location | 1210 W Braker Ln, Austin, Texas |
| Authorized Official Name and Position | Joy Sloan (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5129789811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Texas Community Health Centers Po Box 17366 Austin TX 78760-7366 Ph: (512) 978-8994 | Central Texas Community Health Centers 1210 W Braker Ln Austin TX 78758-3801 Ph: (512) 978-9800 |
| NPI Number | 1427882091 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Medicare PECOS PAC ID | 5395802151 |
|---|---|
| Medicare Enrollment ID | O20250520002621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427882091 | NPI | - | NPPES |
| Provider Name | Nicholas Yagoda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225324825 PECOS PAC ID: 9335387018 Enrollment ID: I20250520004466 |
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