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Organization
ONE HEALTH
Active
Organization
ONE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GROSSI (ACCOUNT MANAGER)
(814) 346-1227
Entity
Organization
Contact information
Practice address
122 HASLER SHORES DR STE 101, BASTROP, TX 78602-4247
(512) 293-0936
(800) 547-1293
Mailing address
122 HASLER SHORES DR STE 101, BASTROP, TX 78602-4247
(512) 293-0936
(800) 547-1293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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