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Intrepid Of Austin-Pediatrics

Home Health in Austin, TX. Organization (NPI-2).

NPI number1497941348
StatusActive
Last updated in NPPESSep 24, 2007

Details

NPI
1497941348
Entity type
Organization (NPI-2)
Legal business name
Intrepid Of Austin-Pediatrics
Organization subpart
No
Enumeration date
Sep 24, 2007
Last updated
Sep 24, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

1812 Centre Creek Dr Ste 100
Austin, TX 78754-5132

Phone 512-833-6454

Mailing address

Po Box 1450
Minneapolis, MN 55485-1450

Authorized official

Teresa Jackson
Director Of Revenue Cycle
21444537750

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