| Sundance Family Health Center | |
|
1000 Hesters Crossing Road Suite 100 Round Rock TX 78681 | |
| (512) 218-4900 | |
| (512) 218-4908 |
| Full Name | Sundance Family Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Hesters Crossing Road, Round Rock, Texas |
| Authorized Official Name and Position | Patrick Boyle (CONTRACT COORDINATOR) |
| Authorized Official Contact | 5124945911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Family Health Center 8409 Ironweed Road Round Rock TX 78681 Ph: (512) 382-5339 | Sundance Family Health Center 1000 Hesters Crossing Road Suite 100 Round Rock TX 78681 Ph: (512) 218-4900 |
| NPI Number | 1982751061 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 10/26/2007 |
| Medicare PECOS PAC ID | 6507965175 |
|---|---|
| Medicare Enrollment ID | O20070621000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982751061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K9122 (Texas) | Primary |
| Provider Name | Atsushi Matsubara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871535195 PECOS PAC ID: 0547261919 Enrollment ID: I20070127000031 |
| Provider Name | Norma E Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013953736 PECOS PAC ID: 9537160908 Enrollment ID: I20070127000040 |
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