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Organization
SOUTH CENTRAL WELLNESS LLC
Active
Organization
SOUTH CENTRAL WELLNESS LLC
Active
Other names
South Land Urology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBYN LIANE ROBERTS MD (MD/ OWNER)
(512) 651-0702
Entity
Organization
Contact information
Practice address
1180 SETON PKWY STE 320, KYLE, TX 78640
(512) 651-0702
(512) 651-0702
Mailing address
5859 FERGUS, KYLE, TX 78640-8627
(512) 651-0702
(512) 651-0702
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
02/06/2019
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