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Organization
SPINE INFORMATICS AUSTIN, LLC
Active
Organization
SPINE INFORMATICS AUSTIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD LEE DEVRIES JR. INVESTOR (GENERAL MANAGER)
(512) 913-1834
Entity
Organization
Contact information
Practice address
110 WILD BASIN RD STE 250, WEST LAKE HILLS, TX 78746-3352
(512) 531-9912
(512) 537-1537
Mailing address
3202 SWEET AUTUMN CV, AUSTIN, TX 78735-1524
(512) 913-1834
(512) 537-1537
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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