Peter Broberg, Md And Associates, Pa

LBN: Peter Broberg, Md And Associates, Pa
Peter Broberg, Md And Associates, Pa is an health care organization with primary practice located at 4207 James Casey St Ste 305 , Austin TX 78745-1193. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Peter Broberg, Md And Associates, Pa can be contacted via phone (512) 447-6096, or through Bishop, Alyson via phone (512) 447-6096.

Contact Information

Primary practice address
4207 James Casey St Ste 305 Austin TX 78745-1193
Phone: (512) 447-6096
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bishop, Alyson
Phone: (512) 447-6096

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1336246602
LBN Legal business name Peter Broberg, Md And Associates, Pa
DBA Doing business as
Authorized official Bishop, Alyson
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 5th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336246602 NPPES
Texas MEDICAID 080183901
Texas Other CG5346

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