Individual
AILEEN A. EBADAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4310 JAMES CASEY ST STE 3C, AUSTIN, TX 78745-1120
(512) 326-2800
(512) 441-6388
Mailing address
4310 JAMES CASEY ST STE 3C, AUSTIN, TX 78745-1120
(512) 326-2800
(512) 441-6388
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q4749
TX
2086S0102X
Surgical Critical Care Physician
Q4749
TX
Other
Enumeration date
04/09/2010
Last updated
03/08/2021
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