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Organization
RELIANT MD MEDICAL ASSOCIATES PLLC
Active
Organization
RELIANT MD MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA SKAGGS CPPM (PRACTICE MANAGER)
(254) 760-0283
Entity
Organization
Contact information
Practice address
6500 RIVER PLACE BLVD, BLDG 4 STE 102, AUSTIN, TX 78730-1109
(512) 717-8391
(469) 340-0657
Mailing address
6500 RIVER PLACE BLVD, BLDG 4 STE 102, AUSTIN, TX 78730-1109
(607) 434-2102
(469) 340-0657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TH0004X
Health Psychologist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669464723
NPI
TX
Enumeration date
01/29/2019
Last updated
12/23/2022
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