Organization
AUSTIN COLON & RECTAL CLINIC PLLC
Active
Other names
Central Texas Colon and Rectal Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE LEZA (ADMINISTRATIVE SPECIALIST)
(512) 418-1979
Entity
Organization
Contact information
Practice address
4106 MEDICAL PKWY, AUSTIN, TX 78756
(512) 418-1979
(512) 418-1943
Mailing address
4106 MEDICAL PKWY, AUSTIN, TX 78756-3722
(512) 418-1979
(512) 418-1943
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200434301
—
TX
Enumeration date
02/07/2007
Last updated
07/20/2018
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