Organization
CENTRAL TEXAS NEUROSURGERY FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY LONG (PRACTICE MANAGER)
(512) 371-7740
Entity
Organization
Contact information
Practice address
1106 CLAYTON LN, STE. 200W, AUSTIN, TX 78723-1066
(512) 371-7740
(512) 371-7759
Mailing address
1106 CLAYTON LN, STE. 200W, AUSTIN, TX 78723-1066
(512) 371-7740
(512) 371-7759
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
K3069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090005203
—
TX
Enumeration date
06/09/2008
Last updated
06/09/2008
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