Provider Demographics
NPI:1760482939
Name:NEURO INSTITUTE OF AUSTIN LP
Entity type:Organization
Organization Name:NEURO INSTITUTE OF AUSTIN LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SRVP CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-738-3300
Mailing Address - Street 1:1106 W DITTMAR RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-6328
Mailing Address - Country:US
Mailing Address - Phone:512-444-4835
Mailing Address - Fax:512-462-6636
Practice Address - Street 1:1106 W DITTMAR RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-6328
Practice Address - Country:US
Practice Address - Phone:512-444-4835
Practice Address - Fax:512-462-6636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
273Y00000X
TX000728283Q00000X
TX6040322D00000X
TX000622282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
No273Y00000XHospital UnitsRehabilitation Unit
No283Q00000XHospitalsPsychiatric Hospital
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147227601Medicaid
TX147227603Medicaid
TX147227603Medicaid