Organization
BROOKSIDE HEALTH INITIATIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENDOL L DAVIS MD (DIRECTOR)
(512) 443-9595
Entity
Organization
Contact information
Practice address
1902 S IH 35, AUSTIN, TX 78704-3628
(512) 443-9595
(512) 443-7077
Mailing address
1902 S IH 35, AUSTIN, TX 78704-3628
(512) 443-9595
(512) 443-7077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
11/03/2023
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