Organization
AUSTIN ENDOSCOPY CENTER I, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE A LEVY MD, JD (CEO)
(512) 420-0186
Entity
Organization
Contact information
Practice address
8015 SHOAL CREEK BLVD, 300, AUSTIN, TX 78757-8066
(512) 371-1519
(512) 371-3131
Mailing address
8015 SHOAL CREEK BLVD, 300, AUSTIN, TX 78757-8066
(512) 371-1519
(512) 371-3131
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC112
TX
Other
Enumeration date
01/30/2006
Last updated
11/19/2009
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