Organization
ROLLY POLLIES LLC
Active
Organization
ROLLY POLLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MANN (OWNER)
(410) 507-9554
Entity
Organization
Contact information
Practice address
12700 SHOPS PKWY, SUITE 450, AUSTIN, TX 78738-6597
(410) 507-9554
(512) 259-9595
Mailing address
12700 SHOPS PKWY, SUITE 450, AUSTIN, TX 78738-6597
(410) 507-9554
(512) 259-9595
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
563100000
TX
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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