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Organization

SOUTH AUSTIN ALLERGY AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NELSON (OWNER)
(512) 680-6673
Entity
Organization

Contact information

Practice address
11530 MANCHACA RD, UNIT 2-A, AUSTIN, TX 78748-2712
(512) 201-2668
Mailing address
11530 MANCHACA RD, UNIT 2-A, AUSTIN, TX 78748-2712

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary

Other

Enumeration date
06/15/2016
Last updated
06/29/2016
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