| Communitycare--william Cannon | |
|
6801 S Ih 35 Ste 1-e Austin TX 78744-4824 | |
| (512) 978-9960 | |
| (512) 978-9961 |
| Full Name | Communitycare--william Cannon |
|---|---|
| Speciality | Clinic/Center |
| Location | 6801 S Ih 35 Ste 1-e, Austin, Texas |
| Authorized Official Name and Position | Joy Sloan (CFO) |
| Authorized Official Contact | 5129789000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Communitycare--william Cannon Po Box 17366 Austin TX 78760-7366 Ph: (512) 978-9000 | Communitycare--william Cannon 6801 S Ih 35 Ste 1-e Austin TX 78744-4824 Ph: (512) 978-9960 |
| NPI Number | 1205864774 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 5395802151 |
|---|---|
| Medicare Enrollment ID | O20090323000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205864774 | NPI | - | NPPES |
| 2046559-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
Harold D Lewis DO PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 |
Julie Graves Moy MD Mph PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 |
Edie E. Shulman M.D., PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 |
El Buen Samaritano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 |
Doctx3 PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 E Slaughter Ln Ste 404, Austin, TX 78744 Phone: 469-277-8253 |