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Organization
SETON/UT SOUTHWESTERN UNIVERSITY PHYSICIANS GROUP
Active
Organization
SETON/UT SOUTHWESTERN UNIVERSITY PHYSICIANS GROUP
Active
Other names
CTMF, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA L HARVEY (BILLING MANAGER)
(512) 324-8617
Entity
Organization
Contact information
Practice address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
(512) 324-8962
Mailing address
1601 RIO GRANDE, SUITE 415, AUSTIN, TX 78701
(512) 324-8960
(512) 324-8962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211346601
—
TX
01
—
OA3612
MEDICARE GROUP PTAN
TX
Enumeration date
02/17/2009
Last updated
02/18/2013
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