Individual
INGA L STORBAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
(512) 218-6330
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003164
IL
363A00000X
Physician Assistant
Primary
PA08513
TX
Other
Enumeration date
08/03/2006
Last updated
03/07/2023
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