Organization
FALCONHEAD SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA RACHELLE COTTLE MD (MEDICAL DIRECTOR)
(512) 913-2972
Entity
Organization
Contact information
Practice address
14425 FALCON HEAD BLVD BUILDING F STE 111, AUSTIN, TX 78738-4412
(512) 900-1006
(512) 263-1119
Mailing address
PO BOX 342139, AUSTIN, TX 78734-0036
(512) 913-2972
(512) 263-1119
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
11/17/2020
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