Organization
PROLIXANT THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER A EVANS (PRESIDENT)
(512) 804-8890
Entity
Organization
Contact information
Practice address
6205B BURNET RD, AUSTIN, TX 78757-3227
(512) 772-1225
(512) 772-1227
Mailing address
6205B BURNET RD, AUSTIN, TX 78757-3227
(512) 772-1225
(512) 772-1227
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
246RP1900X
Phlebotomy Technician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/21/2019
Last updated
07/15/2024
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