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Organization
SUNDANCE MEDICAL SERVICES, INC
Active
Organization
SUNDANCE MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GONZALES (CEO)
(512) 730-3056
Entity
Organization
Contact information
Practice address
7500 RIALTO BLVD STE 1-140, AUSTIN, TX 78735-8534
(512) 730-3060
(888) 730-1925
Mailing address
7500 RIALTO BLVD STE 1-140, AUSTIN, TX 78735-8534
(512) 730-3060
(888) 730-1925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/19/2019
Last updated
12/19/2019
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