Individual
CLAIRE NICOLE FAZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(512) 447-2211
Mailing address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(210) 413-5614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16139
TX
Other
Enumeration date
09/12/2022
Last updated
10/19/2022
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