Organization
TEXAS LYMPHEDEMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA CRUZ (ADMINISTRATOR)
(512) 814-1807
Entity
Organization
Contact information
Practice address
5625 EIGER RD STE 200, AUSTIN, TX 78735-8982
(512) 814-1807
Mailing address
5625 EIGER RD STE 200, AUSTIN, TX 78735-8982
(512) 814-1807
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
111308
TX
208600000X
Surgery Physician
G7380
TX
Other
Enumeration date
07/18/2014
Last updated
09/04/2014
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