Provider Demographics
NPI:1861412322
Name:PULMONARY & CRITICAL CARE CONSULTANTS OF AUSTIN, L.L.P.
Entity type:Organization
Organization Name:PULMONARY & CRITICAL CARE CONSULTANTS OF AUSTIN, L.L.P.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL OPERATIONS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARISPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-459-6599
Mailing Address - Street 1:1305 W 34TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1923
Mailing Address - Country:US
Mailing Address - Phone:512-459-6599
Mailing Address - Fax:512-459-8496
Practice Address - Street 1:1305 W 34TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1923
Practice Address - Country:US
Practice Address - Phone:512-459-6599
Practice Address - Fax:512-459-8496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX094938003Medicaid