Unknown Individual – Geriatric Medicine (Internal Medicine) Physician, NPI 1558400812
Geriatric Medicine (Internal Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
6448 E HWY 290
SUITE # D-103
AUSTIN, TX 787231068
Phone: (512) 452-2100
Fax: (512) 452-2106
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78723)
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