Organization
GREATER AUSTIN REHAB PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GONZALES (OWNER)
(512) 775-1040
Entity
Organization
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 775-1040
Mailing address
4906 STRASS DR, AUSTIN, TX 78731-5628
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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