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  • 670155
CCN: 670155 NPI: 1215449954 Organization

LAKE TRAVIS ER, LLC

5012 RANCH ROAD 620 NORTH
AUSTIN, TX 78732

Contact Information

  • Phone 5122602732
  • Enumeration Date 2017-11-03
  • Last Updated 2025-02-11

Taxonomies

  • Code: 207P00000X
  • Code: 207R00000X
  • Code: 261QM1300X
  • Code: 261QP2300X
  • Code: 261QU0200X
  • Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 12420
providerType 00
operatingCostToChargeRatio 0.175
censusDivision 7
cbsaActualGeographicLocation 12420
providerType 00
operatingCostToChargeRatio 0.175
censusDivision 7
cbsaActualGeographicLocation 12420
providerType 00
operatingCostToChargeRatio 0.184

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 12420
providerType 00
operatingCostToChargeRatio 0.15
specialPaymentIndicator
carrierCode 04412
localityCode 31
cbsaActualGeographicLocation 12420
providerType 00
operatingCostToChargeRatio 0.15
specialPaymentIndicator
carrierCode 04412
localityCode 31
cbsaActualGeographicLocation 12420
providerType 00
operatingCostToChargeRatio 0.154
specialPaymentIndicator 1
carrierCode 04412
localityCode 31

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