Organization
RUNNING WILD SEA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOANN TRINH DO (DIRECTOR)
(512) 944-4585
Entity
Organization
Contact information
Practice address
8557 RESEARCH BLVD STE 128, AUSTIN, TX 78758-7855
(512) 836-7399
(512) 836-7399
Mailing address
PO BOX 10414, AUSTIN, TX 78766-1414
(512) 944-4585
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
03/17/2018
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