Organization
CS SURGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STOVALL MD (MEMBER)
(512) 835-8100
Entity
Organization
Contact information
Practice address
2200 PARK BEND DR, STE 2-201, AUSTIN, TX 78758-5387
(512) 835-8100
Mailing address
2200 PARK BEND DR, STE 2-201, AUSTIN, TX 78758-5387
(512) 835-8100
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA09247
TX
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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