Organization
CAPITAL MEDICAL CLINIC, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER HAGER (ADMINISTRATOR)
(512) 454-5171
Entity
Organization
Contact information
Practice address
1004 W 32ND ST, STE 400, AUSTIN, TX 78705-1915
(512) 454-5171
Mailing address
1004 W 32ND ST, STE 400, AUSTIN, TX 78705-1915
(512) 454-5171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093718701
—
TX
Enumeration date
05/23/2006
Last updated
06/13/2022
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