Individual
AUSTIN THOMAS WISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12407 N MOPAC EXPY, AUSTIN, TX 78758-2475
(512) 339-6644
(866) 536-8140
Mailing address
12407 N MOPAC EXPY, AUSTIN, TX 78758-2475
(737) 202-5899
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
333074
TX
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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