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Organization
VACCINE MACHINE LLC
Active
Organization
VACCINE MACHINE LLC
Active
Other names
Passport Health of Austin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY T ROBIN M.D. (MEDICAL DIRECTOR)
(512) 459-0672
Entity
Organization
Contact information
Practice address
631 W 38TH ST STE 1, AUSTIN, TX 78705-1251
(512) 459-0672
(512) 420-0974
Mailing address
631 W 38TH ST STE 1, AUSTIN, TX 78705-1251
(512) 459-0672
(512) 420-0974
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
E2824
TX
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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