Organization
NEC LAKELINE EMERGENCY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CHANG (MANAGER)
(615) 293-5790
Entity
Organization
Contact information
Practice address
12701 RANCH ROAD 620 N, AUSTIN, TX 78750-1141
(615) 293-5790
Mailing address
12701 RANCH ROAD 620 N, AUSTIN, TX 78750-1141
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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