Organization
ATLANTIS MEDICAL CLINIC - AUSTIN, P.A.
Active
Other names
Medical-Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE ADDISON (PHYSICIAN)
(512) 652-0044
Entity
Organization
Contact information
Practice address
2015 E RIVERSIDE DR, BLDG 2, UNIT D, AUSTIN, TX 78741-1324
(512) 652-0044
Mailing address
2515 MCKINNEY AVE, SUITE 940, DALLAS, TX 75201-1908
(682) 478-9117
(817) 887-2305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N7984
TX
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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