Organization
HEALTHRECLAIMED CENTER OF AUSTIN, PA
Active
Other names
BodyLogicMD of Austin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS CHIZOMAM OKEREKE MD (PRESIDENT)
(512) 672-8797
Entity
Organization
Contact information
Practice address
3701 EXECUTIVE CENTER DR, SUITE 211, AUSTIN, TX 78731-1644
(512) 672-8797
Mailing address
3701 EXECUTIVE CENTER DR, 211, AUSTIN, TX 78731-1644
(512) 672-8797
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
K9375
TX
2083P0901X
Public Health & General Preventive Medicine Physician
K9375
TX
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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