Riverside Practice, Llc

LBN: Riverside Practice, Llc
Riverside Practice, Llc is an health care organization with primary practice located at 2410 E Riverside Dr Ste H12 , Austin TX 78741-3054. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Riverside Practice, Llc can be contacted via phone (512) 442-1224, or through Patel, Asha via phone (225) 802-9534.

Contact Information

Primary practice address
2410 E Riverside Dr Ste H12 Austin TX 78741-3054
Phone: (512) 442-1224
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patel, Asha Doctor of Dental Surgery (DDS)
Phone: (225) 802-9534

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1679062020
LBN Legal business name Riverside Practice, Llc
DBA Doing business as
Authorized official Patel, Asha Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2018
Last updated Mar 24th, 2023 - about 3 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 1679062020 NPPES
Texas MEDICAID 195206120

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