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Individual

MR. JAMES ROBERT CONWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATP, SMS

Contact information

Practice address
11110 METRIC BLVD STE A, AUSTIN, TX 78758-4097
(737) 343-2424
Mailing address
11110 METRIC BLVD STE A, AUSTIN, TX 78758-4097
(512) 738-8818

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
247200000X
TX
247200000X
Other Technician
Primary

Other

Enumeration date
03/09/2012
Last updated
11/06/2023
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