Organization
WESTLAKE IVF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRYAR K KAVOUSSI M.D., M.P.H. (MEDICAL DIRECTOR)
(512) 579-2700
Entity
Organization
Contact information
Practice address
300 BEARDSLEY LN, BLDG B, STE 200, AUSTIN, TX 78746-4945
(512) 579-2700
Mailing address
300 BEARDSLEY LN, BLDG B, STE 200, AUSTIN, TX 78746-4945
(512) 579-2700
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
M5277
TX
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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