Organization
AUSTIN ADULT PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ALBERT IBANEZ M.D. (PRESIDENT)
(512) 222-0000
Entity
Organization
Contact information
Practice address
5301 W DUVAL RD, SUITE A-500, AUSTIN, TX 78727-6618
(512) 222-0000
Mailing address
PO BOX 170999, AUSTIN, TX 78717-0038
(512) 222-0000
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M4188
TX
Other
Enumeration date
08/10/2010
Last updated
02/24/2011
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