Care De Luxe
Clinic/Center, Primary Care in Austin, TX. Organization (NPI-2).
NPI number1700530482
StatusActive
Last updated in NPPESFeb 10, 2022
Details
- NPI
- 1700530482
- Entity type
- Organization (NPI-2)
- Legal business name
- Care De Luxe
- Organization subpart
- No
- Enumeration date
- Feb 10, 2022
- Certification date
- Feb 10, 2022
- Last updated
- Feb 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1033 La Posada Dr # 210-10Austin, TX 78752-3842
Phone 737-262-3374 · Fax 949-437-3523
Mailing address
806 E 13th StAustin, TX 78702-1013
Phone 512-914-2738
Authorized official
Jonathan Lee Escobedo
Ceo, Owner, Nurse Practitioner
7372623374
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