Organization
PARMER LANE MEDICAL OFFICE LLC
Active
Parent organization
BRIAN S. EARTHMAN MD PA
Other names
Parmer Lane Medical Office LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIAN S. EARTHMAN MD PA
Authorized official
DR. BRIAN STUART EARTHMAN MD (PRESIDENT/OWNER)
(512) 528-9498
Entity
Organization
Contact information
Practice address
11901 W PARMER LN STE 310, CEDAR PARK, TX 78613-7654
(512) 528-9498
(512) 843-7164
Mailing address
11901 W PARMER LN STE 310, CEDAR PARK, TX 78613-7654
(512) 528-9498
(512) 843-7164
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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