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Organization
TEXAS HILL COUNTRY ANESTHESIA PA
Active
Organization
TEXAS HILL COUNTRY ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN R CHAMPAGNE-MILLER (ADMIN ASST)
(512) 225-6345
Entity
Organization
Contact information
Practice address
7900 FM 1826, SETON SOUTHWEST, AUSTIN, TX 78737
(512) 324-9808
(512) 324-9086
Mailing address
PO BOX 141456, AUSTIN, TX 78714
(512) 225-6345
(512) 692-5205
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24332
TX
207L00000X
Anesthesiology Physician
L1048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038HD
BCBS
—
05
—
157276001
—
TX
Enumeration date
11/14/2006
Last updated
02/14/2013
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