Provider Demographics
NPI:1679582977
Name:AUSTIN PARENTERAL SERVICES, INC.
Entity type:Organization
Organization Name:AUSTIN PARENTERAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANNETTE
Authorized Official - Middle Name:NAU
Authorized Official - Last Name:OVERBECK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:512-458-3983
Mailing Address - Street 1:1600 W 38TH ST
Mailing Address - Street 2:SUITE 132
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6400
Mailing Address - Country:US
Mailing Address - Phone:512-458-3983
Mailing Address - Fax:512-458-6988
Practice Address - Street 1:1600 W 38TH ST
Practice Address - Street 2:SUITE 132
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6400
Practice Address - Country:US
Practice Address - Phone:512-458-3983
Practice Address - Fax:512-458-6988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10137251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX320029Medicaid
TX320029Medicaid