Organization
SPINEAUSTIN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT VONRUEDEN MD (PRESIDENT)
(512) 454-1234
Entity
Organization
Contact information
Practice address
3001 BEE CAVE RD STE 200, AUSTIN, TX 78746-5590
(512) 454-1234
(512) 472-7350
Mailing address
3001 BEE CAVE RD, STE 200, AUSTIN, TX 78746-5590
(512) 454-1234
(512) 472-7350
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/07/2006
Last updated
02/16/2011
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