ASC - SOUTH AUSTIN LLC – NPI #1770445074
Clinic/Center

ASC - SOUTH AUSTIN LLC is an AHC clinic located in AUSTIN, TX. NPPES has assigned the NPI number 1770445074 to ASC - SOUTH AUSTIN LLC on November 25, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on May 06, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASC - SOUTH AUSTIN LLC below.

NPI Profile for
ASC - SOUTH AUSTIN LLC

NPI Number
1770445074
Enumeration Date

(about 6 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASC - SOUTH AUSTIN LLC
Primary location
708 W BEN WHITE
STE 100
AUSTIN, TX 78704
Phone: (512) 272-4636 Fax:
Mailing address
6210 E HWY 290
AUSTIN, TX 78723-1142
Phone: Fax:
Organization Subpart
No
Authorized Official
ANAS DAGHESTANI
PRESIDENT
Phone: (512) 419-0707
Updated
Certification Date
May 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.