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Contact Information

AUSTIN SOUTHWEST ORTHOPAEDIC GROUP, P.A.
441 HWY 71 W
SUITE F
BASTROP, TX78602-3931
 Phone: 512-451-1969
 Fax: 512-458-2327
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for AUSTIN SOUTHWEST ORTHOPAEDIC GROUP, P.A.

NPI # 1215258918
LBN Legal business name AUSTIN SOUTHWEST ORTHOPAEDIC GROUP, P.A.
Authorized official BRIAN SULLIVAN - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2010
Last updated 01/15/2021 - About 5 years ago
Identifiers
TX License # K7496
TX License # K9864
TX Medicaid 2103178-01
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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