Organization
SOUTH AUSTIN OB-GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN D SUPNET MD (OWNER)
(512) 373-4000
Entity
Organization
Contact information
Practice address
4101 JAMES CASEY ST, STE 330, AUSTIN, TX 78745-1145
(512) 373-4000
(512) 373-4010
Mailing address
4101 JAMES CASEY ST, STE 330, AUSTIN, TX 78745-1145
(512) 373-4000
(512) 373-4010
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L3152
TX
Other
Enumeration date
07/07/2005
Last updated
10/12/2007
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