Provider Demographics
NPI:1528375425
Name:AESCHBACH & ASSOCIATES INCORPORATED
Entity type:Organization
Organization Name:AESCHBACH & ASSOCIATES INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HEINZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AESCHBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-444-5092
Mailing Address - Street 1:2824 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-6423
Mailing Address - Country:US
Mailing Address - Phone:512-444-5092
Mailing Address - Fax:512-444-5099
Practice Address - Street 1:2824 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-6423
Practice Address - Country:US
Practice Address - Phone:512-444-5092
Practice Address - Fax:512-444-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone