Organization
SOMATUS MEDICAL GROUP OF TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA PALMER (AUTHORIZED OFFICIAL)
(202) 236-7061
Entity
Organization
Contact information
Practice address
2021 GUADALUPE ST, AUSTIN, TX 78705-5654
(571) 992-0600
Mailing address
1861 INTERNATIONAL DR STE 600, MC LEAN, VA 22102-4420
(715) 992-0600
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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