Organization
AUSTIN SURGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE P ROSS MD (PRESIDENT)
(512) 478-3402
Entity
Organization
Contact information
Practice address
2911 MEDICAL ARTS ST, BLDG 2, AUSTIN, TX 78705-3376
(512) 478-3402
(512) 478-7114
Mailing address
2911 MEDICAL ARTS ST, BLDG 2, AUSTIN, TX 78705-3376
(512) 478-3402
(512) 478-7114
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0080041803
TX
Other
Enumeration date
07/12/2005
Last updated
08/22/2020
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