Organization Name: | EL BUEN SAMARITANO EPISCOPAL MISSION |
NPI Number: | 1003099433 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY SAYLES (CFO) |
Mailing Address: | 7000 Woodhue Dr Austin |
State: | TX US |
Postal Code: | 787455454 |
Phone Number: | 5124390701 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2007 |
NPI Last Update Date: | 10/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |