Organization
SOUTH AUSTIN ORTHOPAEDIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK RACE MD (PRESIDENT)
(512) 892-1220
Entity
Organization
Contact information
Practice address
4534 W GATE BLVD, SUITE 110, AUSTIN, TX 78745-1485
(512) 892-1220
Mailing address
4534 W GATE BLVD, SUITE 110, AUSTIN, TX 78745-1485
(512) 892-1220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141613301
—
TX
Enumeration date
09/21/2006
Last updated
12/18/2009
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