Individual
CARLEY JEAN LEBIODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3805 FAR WEST BLVD., SUITE 130, AUSTIN, TX 78731
(512) 293-6822
Mailing address
3508 FAR WEST BLVD STE 130, AUSTIN, TX 78731-3081
(512) 293-6822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15868
TX
363A00000X
Physician Assistant
PENDING
MI
Other
Enumeration date
08/05/2021
Last updated
11/12/2024
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