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Individual

FELICIA MALE VAN RENSBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04980
TX
363A00000X
Physician Assistant
PA1010
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
322866002
TX
Enumeration date
10/19/2006
Last updated
11/12/2025
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