# FAMILY MEDICINE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841868965
- **Authorized official:** TARA BOHNERT (ADMINISTRATOR)
- **Authorized official phone:** (512) 633-2585

## Contact information

- **Practice address:** 8738 N LAMAR BLVD, AUSTIN, TX 78753-5410
- **Practice address phone:** (512) 834-2035
- **Practice address fax:** (512) 834-9661
- **Mailing address:** 8738 N LAMAR BLVD, AUSTIN, TX 78753-5410
- **Mailing address phone:** (512) 834-2035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2021
- **Last updated:** 02/26/2025