Active NPI 1619911880 Individual Practitioner Male Practitioner

Dr. Peter L Miller , MD

Internal Medicine - Nephrology • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Peter Miller, MD is a registered healthcare professional specializing in Internal Medicine - Nephrology in Austin, TX. Practice services are available at 321 W BEN WHITE under active NPI credentials.

Frequently performed procedures and clinical services include injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

321 W Ben White
Ste 205

Austin, TX 787047087

Telephone 5124515800

Fax 5124591399

Associated Practice Facility / Clinic

🏢 Central Texas Kidney Associates Facility NPI 1700816923

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Austin, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

45 Specialists

Practicing in Austin, TX (1192 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	1,435	18	$25.00	$7.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	133	$190.00	$106.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	184	110	$130.00	$76.88
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	145	21	$1800.00	$346.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	108	77	$185.00	$115.18
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	83	71	$18.00	$15.78
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	50	42	$30.00	$11.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	18	$150.00	$14.32
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	41	22	$1200.00	$281.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$355.00	$168.14
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	29	26	$573.00	$222.99
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	20	17	$402.00	$160.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$255.00	$142.36
90966 Home dialysis services per month, patient 20 years of age or older	17	12	$1800.00	$288.97
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	17	14	$30.00	$11.89
36907 Balloon dilation of dialysis segment with review by radiologist	16	11	$348.00	$139.01
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$130.00	$53.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$300.00	$166.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	230	33	$1800.00	$349.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	125	$190.00	$125.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	114	73	$130.00	$77.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	91	67	$185.00	$117.09
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	72	53	$31.00	$12.11
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	51	22	$29.00	$11.37
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	46	27	$1200.00	$290.67
90935 Hemodialysis procedure with physician evaluation	42	27	$210.00	$70.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$355.00	$170.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$301.29	$162.06
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	34	29	$582.00	$229.08
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	18	12	$409.00	$160.95
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	14	14	$1078.00	$423.96
36589 Removal of central venous catheter for infusion	11	11	$341.00	$128.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	310	41	$1800.00	$362.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	184	126	$185.00	$100.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	111	$190.00	$124.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	81	$130.00	$70.34
90935 Hemodialysis procedure with physician evaluation	87	48	$210.00	$73.01
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	84	68	$31.00	$12.33
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	55	31	$29.00	$11.31
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	46	23	$1200.00	$300.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$301.13	$169.65
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	40	38	$585.00	$235.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$355.00	$197.12
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	25	22	$411.00	$161.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$250.00	$129.48
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	17	15	$1084.00	$435.85
36589 Removal of central venous catheter for infusion	16	15	$344.38	$137.34
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	13	$44.57	$19.64
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$130.00	$86.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	387	91	$1800.00	$364.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	191	123	$185.00	$103.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	108	$190.00	$132.70
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	109	94	$32.00	$12.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	107	78	$130.00	$72.06
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	94	49	$1200.00	$302.60
90935 Hemodialysis procedure with physician evaluation	92	56	$210.00	$73.70
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	68	63	$589.00	$230.95
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	37	26	$29.00	$11.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$300.00	$168.42
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	32	26	$413.00	$164.35
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$130.00	$92.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$355.00	$200.73
90945 Dialysis procedure including 1 evaluation	23	11	$250.00	$87.87
36589 Removal of central venous catheter for infusion	22	22	$347.73	$139.84
36907 Balloon dilation of dialysis segment with review by radiologist	19	12	$359.00	$145.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$250.00	$135.87
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	14	12	$1092.00	$441.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$200.00	$109.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	619	80	$1800.00	$292.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	214	139	$185.00	$103.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	90	$190.00	$111.09
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	125	108	$32.00	$12.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	119	90	$130.00	$73.07
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	96	51	$1200.00	$246.40
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	88	79	$611.00	$246.36
90935 Hemodialysis procedure with physician evaluation	82	64	$210.00	$73.70
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	73	36	$28.00	$11.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	49	$250.00	$139.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$300.00	$168.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$355.00	$205.67
90945 Dialysis procedure including 1 evaluation	30	17	$250.00	$88.84
36907 Balloon dilation of dialysis segment with review by radiologist	26	21	$374.00	$150.85
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	25	23	$1135.00	$456.51
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	23	22	$431.00	$169.48
36589 Removal of central venous catheter for infusion	21	21	$354.14	$135.36
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$130.00	$75.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$200.00	$107.78
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	12	$775.92	$236.15
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$61.92	$19.06
76937 Ultrasonic guidance for blood vessel access	11	11	$44.82	$14.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	1,080	13	$25.00	$11.38
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	650	89	$1800.00	$287.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	242	175	$185.00	$104.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	111	$190.00	$109.53
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	157	129	$32.00	$12.37
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	127	58	$1200.00	$242.01
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	122	101	$617.00	$240.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	115	94	$130.00	$73.15
90935 Hemodialysis procedure with physician evaluation	113	94	$210.00	$73.90
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	67	42	$28.00	$10.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	49	$250.00	$137.54
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	39	36	$431.00	$172.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$301.32	$162.85
36589 Removal of central venous catheter for infusion	31	31	$353.00	$136.11
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	31	27	$1141.00	$455.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	13	$50.00	$17.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$355.00	$203.47
90945 Dialysis procedure including 1 evaluation	22	13	$250.00	$86.77
36907 Balloon dilation of dialysis segment with review by radiologist	21	17	$376.00	$150.14
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$79.31	$17.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$203.00	$104.67
76937 Ultrasonic guidance for blood vessel access	14	13	$58.50	$14.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	6,285	96	$2.00	$0.12
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	1,395	14	$25.00	$12.40
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	722	95	$1800.00	$281.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	203	138	$185.00	$103.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	110	$190.00	$105.83
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	177	72	$1200.00	$238.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	123	100	$130.00	$71.36
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	100	92	$133.00	$51.62
90935 Hemodialysis procedure with physician evaluation	91	77	$210.00	$72.42
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	64	60	$32.00	$12.55
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	60	56	$3220.00	$1251.30
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	47	45	$614.00	$242.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	41	$250.00	$135.60
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	38	33	$29.00	$10.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	14	$50.00	$20.75
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	30	20	$29.00	$11.12
36589 Removal of central venous catheter for infusion	23	23	$417.00	$159.99
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	22	22	$5929.00	$2335.48
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	22	21	$1541.00	$593.18
36589 Removal of central venous catheter for infusion	21	21	$351.43	$121.70
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	19	18	$431.00	$165.59
36907 Balloon dilation of dialysis segment with review by radiologist	19	17	$1948.00	$767.21
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$217.00	$85.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$355.00	$201.43
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	17	16	$1136.00	$448.99
36581 Replacement of tunneled central venous tube	15	12	$1825.00	$718.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$303.00	$157.33
90945 Dialysis procedure including 1 evaluation	14	11	$250.00	$85.19
90962 Dialysis services, 1 physician visit per month (20 years or older)	13	11	$600.00	$176.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$200.00	$107.95
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$75.83	$18.60
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$130.00	$73.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	7,013	138	$2.00	$0.12
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	801	115	$1800.00	$281.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	223	172	$185.00	$102.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	129	$190.00	$105.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	190	150	$130.00	$70.13
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	173	81	$1200.00	$236.75
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	130	113	$132.00	$51.77
90935 Hemodialysis procedure with physician evaluation	101	82	$210.00	$71.45
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	100	91	$3125.00	$1220.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	54	$250.00	$134.77
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	52	35	$29.00	$11.07
36589 Removal of central venous catheter for infusion	31	31	$418.00	$164.67
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	27	23	$5828.00	$2293.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$355.00	$200.19
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$130.00	$70.28
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	18	18	$1465.00	$533.76
36907 Balloon dilation of dialysis segment with review by radiologist	15	14	$1871.00	$736.11
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$217.00	$85.09
90962 Dialysis services, 1 physician visit per month (20 years or older)	12	12	$600.00	$182.93

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License TX J8061

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

132352910 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Allison Miller , MD

Internal Medicine - Nephrology

NPI 1003379439

Doctor of Medicine (M.D.)

Teresa Kacerguis , APRN, ACNS-BC

Nurse Practitioner - Family

NPI 1043575806

Advanced Practice Registered Nurse, ACNSBC

Dr. Timothy Hines , MD

Internal Medicine - Nephrology

NPI 1063446359

Doctor of Medicine (M.D.)

Ron Mccall , FNP-C

Nurse Practitioner - Family

NPI 1073270914

Family Nurse Practitioner (Certified)

Allison Lamm , APRN, FNP-C

Nurse Practitioner - Adult Health

NPI 1104588359

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Ashvin Baru , MD

Internal Medicine - Nephrology

NPI 1114216009

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2016

Registered at 321 W BEN WHITE, STE 205, AUSTIN, TX 787047087 (Tel: 5124515800)

📍

Updated Business Mailing Address September 02, 2016

Registered at 408 W 45TH ST, AUSTIN, TX 787513014 (Tel: 5124515800)

👤

Provider Name / Credentials Updated September 02, 2016

Recorded as PETER MILLER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2016

Internal Medicine (License #J8061 in TX)

🟢

Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1619911880

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2006

Last Update: September 02, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

408 W 45th St

Austin, TX 787513014

Phone: 5124515800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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