Organization
BAYLOR SCOTT AND WHITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA ROSSE (SENIOR SUPERVISOR, CLINIC OPERATIO)
(512) 509-0289
Entity
Organization
Contact information
Practice address
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1053
(615) 347-3845
Mailing address
200 RIVER OAKS CV APT 1130, GEORGETOWN, TX 78626-5575
(615) 347-3845
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/13/2016
Last updated
02/13/2016
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