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Manos De Cristo

Dentist in Austin, TX. Organization (NPI-2).

NPI number1245147883
StatusActive
Last updated in NPPESAug 27, 2026

Details

NPI
1245147883
Entity type
Organization (NPI-2)
Legal business name
Manos De Cristo
Organization subpart
No
Enumeration date
Aug 27, 2026
Certification date
Aug 27, 2026
Last updated
Aug 27, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

4911 Harmon Ave
Austin, TX 78751-2710

Phone 512-628-4194

Mailing address

4911 Harmon Ave
Austin, TX 78751-2710

Phone 512-628-4194

Authorized official

Julie Ballesteros
Executive Director
5126284194

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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