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Organization
ROUND ROCK MEDICAL AESTHETICS AND URGENT CARE PLLC
Active
Organization
ROUND ROCK MEDICAL AESTHETICS AND URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE DAVID BRODER MD (OWNER)
(512) 246-2639
Entity
Organization
Contact information
Practice address
2400 IH 35 S, SUITE 135, ROUND ROCK, TX 78681-7912
(512) 246-2639
(512) 246-7414
Mailing address
2400 IH 35 S, SUITE 135, ROUND ROCK, TX 78681-7912
(512) 246-2639
(512) 246-7414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L2154
TX
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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