Organization
IPS OF TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL R NOBACK MD (MEDICAL DIRECTOR)
(888) 337-3509
Entity
Organization
Contact information
Practice address
3107 OAK CREEK DR, SUITE 100, AUSTIN, TX 78727-3020
(512) 623-7400
(512) 623-7698
Mailing address
PO BOX 865051, ORLANDO, FL 32886-5051
(888) 337-3509
(941) 328-3997
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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