Organization
.SUNSTAR GERIATRICS HEALTHCARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYANN M CHOI M.D. (CHIEF EXECUTIVE OFFICER)
(512) 868-9078
Entity
Organization
Contact information
Practice address
501 S AUSTIN AVE, SUITE 1320, GEORGETOWN, TX 78626-5610
(512) 868-9078
(512) 819-0646
Mailing address
501 S AUSTIN AVE, SUITE 1320, GEORGETOWN, TX 78626-5610
(512) 868-9078
(512) 819-0646
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
K9039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173285101
—
TX
Enumeration date
06/12/2006
Last updated
04/14/2009
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