Organization
CAPITAL NEUROSURGICAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUEBEN RIVERA (OFFICE MANAGER)
(512) 454-9627
Entity
Organization
Contact information
Practice address
711 WEST 38TH ST, STE D-4, AUSTIN, TX 78705
(512) 454-9627
(512) 454-6310
Mailing address
711 WEST 38TH ST, STE D-4, AUSTIN, TX 78705
(512) 454-9627
(512) 454-6310
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093896101
—
TX
Enumeration date
05/10/2007
Last updated
02/24/2010
Update your record
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