Organization
METABOLIC THERAPY INC.
Active
Other names
Texas Translational Cognition Research
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH RUSSELL (OWNER)
(512) 909-7963
Entity
Organization
Contact information
Practice address
4103 AVENUE D, AUSTIN, TX 78751
(512) 909-7963
Mailing address
PO BOX 66101, AUSTIN, TX 78766-6101
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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