Organization
NOURISH. AN INTEGRATIVE MEDICAL PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRA VARELA CARRASCO M.D. (OWNER)
(512) 750-0108
Entity
Organization
Contact information
Practice address
1701 TOOMEY RD, AUSTIN, TX 78704-1033
(512) 454-3781
(512) 454-4058
Mailing address
3705 MEDICAL PKWY STE 340, AUSTIN, TX 78705-1023
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
N3539
TX
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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