Organization
SOUTHWESTERN COLON & RECTAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO LERMA SOLIS M.D. (MEDICAL DIRECTOR)
(512) 447-8911
Entity
Organization
Contact information
Practice address
4007 JAMES CASEY DR STE D150, AUSTIN, TX 78745-3346
(512) 447-8911
(512) 447-8761
Mailing address
4007 JAMES CASEY DR STE D150, AUSTIN, TX 78745-3346
(512) 447-8911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L1757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8B9880
BCBS
TX
Enumeration date
09/01/2006
Last updated
01/23/2008
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