Organization
EXCELSIOR ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WEILON CHIN MD (PHYSICIAN/FOUNDER)
(512) 846-3100
Entity
Organization
Contact information
Practice address
12728 COUNCIL BLUFF DR, AUSTIN, TX 78727
(512) 963-6566
Mailing address
1600 W 38TH ST STE 306, AUSTIN, TX 78731-6406
(512) 846-3100
(512) 846-3101
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
Q8036
TX
Other
Enumeration date
08/28/2018
Last updated
11/02/2018
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