Organization
FD MEDICAL I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DORNER (DIRECTOR)
(512) 502-3033
Entity
Organization
Contact information
Practice address
9600 GREAT HILLS TRL, STE: 150W, AUSTIN, TX 78759-6387
(512) 502-3033
(866) 776-6641
Mailing address
9600 GREAT HILLS TRL, STE: 150W, AUSTIN, TX 78759-6387
(512) 502-3033
(866) 776-6641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L2246
TX
Other
Enumeration date
03/05/2008
Last updated
03/27/2012
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