Individual
DR. MAEGAN KELLIE GARCIA LAZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
S9544
TX
208600000X
Surgery Physician
60566277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425314807
—
TX
01
—
ML60566277
DEPARTMENT OF HEALTH
WA
Enumeration date
06/17/2015
Last updated
09/07/2021
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