Organization
GREENBROOK TMS AUSTIN CENTRAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ELIZABETH NULL (REGIONAL MANAGER)
(855) 940-4867
Entity
Organization
Contact information
Practice address
3705 MEDICAL PKWY STE 450, AUSTIN, TX 78705-1024
(512) 377-9781
(737) 204-0165
Mailing address
8405 GREENSBORO DR STE 120, MC LEAN, VA 22102-5106
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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