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Organization
GREAT HILLS ENT
Active
Organization
GREAT HILLS ENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK THOMAS BROWN M.D. (PRESIDENT)
(512) 258-2300
Entity
Organization
Contact information
Practice address
11762 JOLLYVILLE RD, AUSTIN, TX 78759-3937
(512) 258-2300
Mailing address
11762 JOLLYVILLE RD, AUSTIN, TX 78759-3937
(512) 258-2300
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
K7252
TX
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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