Organization
BUTTERCUP CREEK FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN ELIZABETH HATHCOCK (PRESIDENT)
(512) 249-1400
Entity
Organization
Contact information
Practice address
200 BUTTERCUP CREEK BLVD, STE 115, CEDAR PARK, TX 78613
(512) 249-1400
(512) 249-1800
Mailing address
200 BUTTERCUP CREEK BLVD, STE 115, CEDAR PARK, TX 78613
(512) 249-1400
(512) 249-1800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H1869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000110J7
—
TX
Enumeration date
08/31/2006
Last updated
08/22/2020
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