Organization
AUSTIN PHYSICIAN ALLIANCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MARROQUIN (ADMINISTRATOR)
(512) 763-4690
Entity
Organization
Contact information
Practice address
316 ESCONDIDO DR, GEORGETOWN, TX 78633-5645
(512) 763-4680
(512) 838-6504
Mailing address
316 ESCONDIDO DR, GEORGETOWN, TX 78633-5645
(512) 763-4680
(512) 838-6504
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
12/16/2015
Last updated
03/22/2018
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