Organization
AUSTIN GASTROENTEROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE COMBS (MANAGER)
(512) 485-5878
Entity
Organization
Contact information
Practice address
9211 WATERFORD CENTRE BLVD, STE 200, AUSTIN, TX 78758-7679
(512) 485-5872
(512) 420-0397
Mailing address
PO BOX 10597, AUSTIN, TX 78766-1597
(512) 420-0186
(512) 420-0397
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141562201
—
TX
Enumeration date
05/15/2006
Last updated
03/29/2021
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