# SOUTH AUSTIN OB-GYN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013914993
- **Authorized official:** DR. BENJAMIN D SUPNET MD (OWNER)
- **Authorized official phone:** (512) 373-4000

## Contact information

- **Practice address:** 4101 JAMES CASEY ST, STE 330, AUSTIN, TX 78745-1145
- **Practice address phone:** (512) 373-4000
- **Practice address fax:** (512) 373-4010
- **Mailing address:** 4101 JAMES CASEY ST, STE 330, AUSTIN, TX 78745-1145
- **Mailing address phone:** (512) 373-4000
- **Mailing address fax:** (512) 373-4010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | L3152 | TX | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 10/12/2007