Organization
CREEKSIDE SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE AGUIRRE (MSO MANAGER)
(512) 407-6855
Entity
Organization
Contact information
Practice address
8900 SHOAL CREEK BLVD, BLDG 301B, AUSTIN, TX 78757-6810
(512) 407-6855
(512) 524-2251
Mailing address
8900 SHOAL CREEK BLVD, BLDG 301B, AUSTIN, TX 78757-6810
(512) 407-6855
(512) 524-2251
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H6973
TX
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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