Organization
DRAGON FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C MILLER (ADMIN ASST)
(512) 225-6345
Entity
Organization
Contact information
Practice address
2000 SOUTH IH 35, #E1, ROUND ROCK, TX 78681
(512) 244-1978
(512) 244-0787
Mailing address
2000 SOUTH IH 35, #E1, ROUND ROCK, TX 78681
(512) 225-6345
(512) 692-5205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J6637
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002EV
BCBS
—
05
—
141571301
—
TX
Enumeration date
11/21/2006
Last updated
01/31/2013
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