| Code 1 Concierge Pllc | |
|
14101 Us 290 W Suite 400b Austin TX 78737-2445 | |
| (512) 894-5050 | |
| (512) 894-2201 |
| Full Name | Code 1 Concierge Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14101 Us 290 W, Austin, Texas |
| Authorized Official Name and Position | Peter Whitney-cashio (OWNER) |
| Authorized Official Contact | 5128945050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Code 1 Concierge Pllc 14101 Us 290 W Suite 400b Austin TX 78737-2445 Ph: (512) 894-5050 | Code 1 Concierge Pllc 14101 Us 290 W Suite 400b Austin TX 78737-2445 Ph: (512) 894-5050 |
| NPI Number | 1326686494 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 07/28/2021 |
| Medicare PECOS PAC ID | 0840693818 |
|---|---|
| Medicare Enrollment ID | O20210728002084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326686494 | NPI | - | NPPES |
| P4397 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Peter Joseph Cashio |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649414798 PECOS PAC ID: 8729235379 Enrollment ID: I20120904000457 |
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