| Organization Name: | LEGACY HEART CARE OF AUSTIN LLC |
| NPI Number: | 1336304732 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL GRATCH (PRESIDENT) |
| Mailing Address: | 901 W 38th St Suite 403 Austin |
| State: | TX US |
| Postal Code: | 787051163 |
| Phone Number: | 8174234400 |
| Fax Number: | 8174238080 |
| NPI Enumeration Date: | 07/24/2008 |
| NPI Last Update Date: | 06/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364S00000X |
| License Number: | 654915 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |