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Organization

CAPITAL OTOLARYNGOLOGY HEAD & NECK SURGEONS, P.A.

Active
Other names
Capital Otolaryngology
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES LOPEZ (PRACTICE ADMINISTRATOR)
(512) 339-4040
Entity
Organization

Contact information

Practice address
12309 N MOPAC EXPY STE 100, AUSTIN, TX 78758-2604
(512) 339-4040
(512) 997-9077
Mailing address
12309 N MOPAC EXPY STE 100, AUSTIN, TX 78758-2604
(512) 339-4040
(512) 339-1663

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/09/2007
Last updated
05/02/2019
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