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Contact Information

CCRM AUSTIN, LLC
5301 SOUTHWEST PKWY STE 350
AUSTIN, TX78735-8985
 Phone: 727-410-3707
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Ambulatory Fertility Facility

261QA0006X
Indicates primary specialty

NPI Profile & details for CCRM AUSTIN, LLC

NPI Number 1861257396
LBN Legal business name CCRM AUSTIN, LLC
Authorized official DIANE RAVECH - (CHIEF MANAGED CARE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2024
Last updated 04/24/2025 - More than a year ago
Identifiers n/a
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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