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Individual

MICHAEL KUBECKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8862
(512) 493-9237
Mailing address
534 VALARIE LN, MIDLOTHIAN, TX 76065-6192

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
750285
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP140496
TX

Other

Enumeration date
11/15/2018
Last updated
02/27/2019
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