| Everly Provider Group Ca, PC | |
|
5209 Burnet Rd Austin TX 78756-2442 | |
| (855) 422-3855 | |
| Not Available |
| Full Name | Everly Provider Group Ca, PC |
|---|---|
| Speciality | General Practice |
| Location | 5209 Burnet Rd, Austin, Texas |
| Authorized Official Name and Position | Saba Haq (AO) |
| Authorized Official Contact | 9494630650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Everly Provider Group Ca, PC 5209 Burnet Rd Austin TX 78756-2442 Ph: (855) 422-3855 | Everly Provider Group Ca, PC 5209 Burnet Rd Austin TX 78756-2442 Ph: (855) 422-3855 |
| NPI Number | 1578327037 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 11/12/2025 |
| Certification Date | 11/12/2025 |
| Medicare PECOS PAC ID | 2062950272 |
|---|---|
| Medicare Enrollment ID | O20240822002953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578327037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Bonita G Tao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912191164 PECOS PAC ID: 9830271022 Enrollment ID: I20080126000166 |
| Provider Name | Christina Mota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114014263 PECOS PAC ID: 9133176670 Enrollment ID: I20120730000118 |
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