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Organization
INTREPID OF AUSTIN-PEDIATRICS
Active
Organization
INTREPID OF AUSTIN-PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA JACKSON (DIRECTOR OF REVENUE CYCLE)
21444537750
Entity
Organization
Contact information
Practice address
1812 CENTRE CREEK DR STE 100, AUSTIN, TX 78754-5132
(512) 833-6454
Mailing address
PO BOX 1450, MINNEAPOLIS, MN 55485-1450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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