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Organization

EVERLY PROVIDER GROUP DE, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SABA HAQ (AO)
(949) 463-0650
Entity
Organization

Contact information

Practice address
5209 BURNET RD, AUSTIN, TX 78756-2442
(888) 813-0218
Mailing address
5209 BURNET RD, AUSTIN, TX 78756-2442

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
01/23/2024
Last updated
11/12/2025
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