# SOUTH AUSTIN ENDOCRINOLOGY AND OBESITY CLINIC PLLC

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

## Provider details

- **NPI number:** 1023769387
- **Authorized official:** SIMONA RICHEH (OFFICE MANAGER)
- **Authorized official phone:** (773) 742-0081

## Contact information

- **Practice address:** 1340 WONDER WORLD DR STE 2203, SAN MARCOS, TX 78666-7791
- **Practice address phone:** (512) 969-8991
- **Practice address fax:** (512) 982-6186
- **Mailing address:** 1340 WONDER WORLD DR STE 2203, SAN MARCOS, TX 78666-7791
- **Mailing address phone:** (512) 969-8991
- **Mailing address fax:** (512) 982-6186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2022
- **Last updated:** 01/18/2022
