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Individual

CARLA S UNDERHILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3200 RED RIVER ST, SUITE 210, AUSTIN, TX 78705-2660
(512) 472-3161
(512) 476-4309
Mailing address
3200 RED RIVER ST, SUITE 210, AUSTIN, TX 78705-2660
(512) 472-3161
(512) 476-4309

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TXG0224
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123347001
TX
Enumeration date
07/13/2006
Last updated
06/18/2008
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