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Contact Information

SENIOR ADULTS SPECIALTY HEALTHCARE PA
3215 STECK AVE
SUITE 200
AUSTIN, TX78757-7566
 Phone: 512-476-3556
 Fax: 512-476-0195
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Nurse Specialist

364S00000X 89 Certified Clinical Nurse Specialist
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SENIOR ADULTS SPECIALTY HEALTHCARE PA

NPI Number 1639170541
LBN Legal business name SENIOR ADULTS SPECIALTY HEALTHCARE PA
Authorized official JARON WINSTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2005
Last updated 07/21/2022 - About 4 years ago
Identifiers
TX Medicaid 080136702
TX Other 0019BV BLUE CROSS
TX Other 260034279 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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