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Organization

SOUTH CENTRAL WELLNESS LLC

Active
Other names
South Land Urology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBYN LIANE ROBERTS MD (MD/ OWNER)
(512) 651-0702
Entity
Organization

Contact information

Practice address
1180 SETON PKWY STE 320, KYLE, TX 78640
(512) 651-0702
(512) 651-0702
Mailing address
5859 FERGUS, KYLE, TX 78640-8627
(512) 651-0702
(512) 651-0702

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
09/19/2018
Last updated
02/06/2019
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