Austin Regional Clinic, PA

NPI #1295291789 in Manor, Texas

Provider Information

NPI Number: 1295291789
Entity Type: Organization
Organization Name: Austin Regional Clinic, PA
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Feb 20, 2019
Last Updated: Feb 20, 2019

Practice Location

Address: 11300 E HWY 390
Address 2: BLDG 2, STE 230
City: Manor
State: Texas
ZIP Code: 78653-0397
Phone: (512) 582-6075

Authorized Official

Name: ANAS DAGHESTANI, MD
Title: CEO/PRESIDENT
Phone: (512) 231-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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