Organization
INVALID NAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INVALID ALAN INVALID MD (OWNER)
(512) 406-3030
Entity
Organization
Contact information
Practice address
12400 W HWY 71 BLDG F, BEE CAVE, TX 78738-6517
(512) 406-3030
Mailing address
12400 W HWY 71 BLDG F, BEE CAVE, TX 78738-6517
(512) 406-3030
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
K7302
TX
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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