Individual
JOHN MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12817 HACIENDA RDG, AUSTIN, TX 78738-7652
(512) 415-1555
Mailing address
12817 HACIENDA RDG, AUSTIN, TX 78738-7652
(512) 415-1555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G6345
TX
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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