# ROSEDALE FAMILY CARE PARTNERS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417174921
- **Authorized official:** KRYSTAL BUCHANAN (CLINIC COORDINATOR)
- **Authorized official phone:** (512) 459-9889

## Contact information

- **Practice address:** 5222 BURNET RD, SUITE 200, AUSTIN, TX 78756-2430
- **Practice address phone:** (512) 459-9889
- **Practice address fax:** (512) 389-2935
- **Mailing address:** 5222 BURNET RD, SUITE 200, AUSTIN, TX 78756-2430
- **Mailing address phone:** (512) 459-9889
- **Mailing address fax:** (512) 459-7373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 08/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 8F1441 | KEINARTH BCBS | TX |