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Organization

BAYLOR MEDICAL & DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RHONDA PHAM (OFFICE MANAGER)
(512) 832-6395
Entity
Organization

Contact information

Practice address
8741 N LAMAR BLVD, AUSTIN, TX 78753-5423
(512) 832-6395
Mailing address
8741 N LAMAR BLVD, AUSTIN, TX 78753-5423
(512) 832-6395

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
207V00000X
Obstetrics & Gynecology Physician

Other

Enumeration date
06/25/2009
Last updated
11/02/2011
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