# PREMIER GYNECOLOGY OF AUSTIN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Integrative Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215204540
- **Authorized official:** SCREVEN EDGERTON MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (512) 459-4405

## Contact information

- **Practice address:** 1010 W 9TH ST, AUSTIN, TX 78703-4924
- **Practice address phone:** (512) 459-4405
- **Mailing address:** 1010 W 9TH ST, AUSTIN, TX 78703-4924
- **Mailing address phone:** (512) 459-4405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 12/01/2011
- **Last updated:** 12/01/2011