Organization · Type 2 NPI

Peach State Medical Practice, PC

Ambulatory Fertility Facility · Austin, TX

NPI number 1083295638 Active

Practice location

100 Colorado St
Austin, TX 78701-4147

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Other practice locations

  • 1111 Uptown Park Blvd Ste 2, Houston, TX 77056-3224 · (281) 719-9355
  • 8041 Walnut Hill Ln Ste 870, Dallas, TX 75231-0954 · (214) 295-7712

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Fertility Facility Primary 261QA0006XNone listed
Non-Surgical Family Planning Clinic/Center 261QF0050XNone listed

Ambulatory Fertility Facility: A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transf…

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About NPI 1083295638

Peach State Medical Practice, PC's National Provider Identifier is 1083295638, issued on Apr 15, 2021. The primary taxonomy on file is Ambulatory Fertility Facility (261QA0006X), and the practice location is in Austin, TX. The record was last updated on May 20, 2024.