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Organization
SERENITY CREEK MED SPA
Active
Organization
SERENITY CREEK MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHALIE BLACKSTOCK (EXECUTIVE DIRECTOR, RCM DIVISION)
(512) 323-6900
Entity
Organization
Contact information
Practice address
8900 SHOAL CREEK BLVD, BUILDING 300-A, AUSTIN, TX 78757-6810
(512) 375-3858
(512) 375-3865
Mailing address
8900 SHOAL CREEK BLVD, BUILDING 300-A, AUSTIN, TX 78757-6810
(512) 375-3858
(512) 375-3865
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/30/2014
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