| Everly Provider Group De, P.A. | |
|
5209 Burnet Rd Austin TX 78756-2442 | |
| (888) 813-0218 | |
| Not Available |
| Full Name | Everly Provider Group De, P.A. |
|---|---|
| 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 De, P.A. 5209 Burnet Rd Austin TX 78756-2442 | Everly Provider Group De, P.A. 5209 Burnet Rd Austin TX 78756-2442 Ph: (888) 813-0218 |
| NPI Number | 1457112773 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 11/12/2025 |
| Certification Date | 11/12/2025 |
| Medicare PECOS PAC ID | 7113464470 |
|---|---|
| Medicare Enrollment ID | O20240820001669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457112773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Akayla Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700178720 PECOS PAC ID: 4385865229 Enrollment ID: I20141018000109 |
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