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Organization
ROSEDALE FAMILY CARE PARTNERS, PA
Active
Organization
ROSEDALE FAMILY CARE PARTNERS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL BUCHANAN (CLINIC COORDINATOR)
(512) 459-9889
Entity
Organization
Contact information
Practice address
5222 BURNET RD, SUITE 200, AUSTIN, TX 78756-2430
(512) 459-9889
(512) 389-2935
Mailing address
5222 BURNET RD, SUITE 200, AUSTIN, TX 78756-2430
(512) 459-9889
(512) 459-7373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F1441
KEINARTH BCBS
TX
Enumeration date
04/19/2007
Last updated
08/22/2024
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