Organization
AUSTIN GYNECOLOGY ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE L KODACK M.D. (PRESIDENT)
(512) 478-7295
Entity
Organization
Contact information
Practice address
900 W 38TH ST, SUITE 420, AUSTIN, TX 78705-1127
(512) 478-7295
(512) 478-4366
Mailing address
900 W 38TH ST, SUITE 420, AUSTIN, TX 78705-1127
(512) 478-7295
(512) 478-4366
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023081056
NPI
TX
01
—
1326009671
NPI
TX
01
—
1396706636
NPI
TX
Enumeration date
03/27/2008
Last updated
03/27/2008
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