Organization
NEUROLOGY CLINIC PA
Active
Organization
NEUROLOGY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA M VERELLEN MD (PRESIDENT)
(512) 458-2600
Entity
Organization
Contact information
Practice address
601 W 17TH ST, AUSTIN, TX 78701-1103
(512) 708-9200
(512) 532-6261
Mailing address
601 W 17TH ST, AUSTIN, TX 78701-1103
(512) 708-9200
(512) 532-6261
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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