| Greater Austin Neurology Clinic Pa | |
|
13915 N Mo Pac Expy Suite 302 Austin TX 78728-6517 | |
| (512) 228-3800 | |
| (512) 228-3801 |
| Full Name | Greater Austin Neurology Clinic Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 13915 N Mo Pac Expy, Austin, Texas |
| Authorized Official Name and Position | Muhammad Munir (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5122283800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Austin Neurology Clinic Pa 13915 N Mo Pac Expy Suite 302 Austin TX 78728-6517 Ph: (512) 228-3800 | Greater Austin Neurology Clinic Pa 13915 N Mo Pac Expy Suite 302 Austin TX 78728-6517 Ph: (512) 228-3800 |
| NPI Number | 1699878801 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 07/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699878801 | NPI | - | NPPES |
| DD5916 | Other | RAIL ROAD MEDICARE | |
| 602284200 | Other | US DEPT OF LABOR | |
| 0097KK | Other | BLUE CROSS | |
| 163332301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | L6538 (Texas) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | L6538 (Texas) | Primary |
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