Organization
HEALTHRECLAIMED CENTER OF AUSTIN, PA
Active
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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