Organization
AUSTIN ENDOMETRIOSIS & FEMALE INFERTILITY CENTER PA
Active
Other names
Austin Endometriosis & Fertility Center PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEIKHOSROW M KAVOUSSI M.D. (OWNER)
(512) 444-1414
Entity
Organization
Contact information
Practice address
4303 JAMES CASEY ST, SUITE A, AUSTIN, TX 78145-1188
(512) 444-1414
(512) 444-5621
Mailing address
4303 JAMES CASEY ST, SUITE A, AUSTIN, TX 78145-1188
(512) 444-1414
(512) 444-5621
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
G2406
TX
207VG0400X
Gynecology Physician
Primary
G2406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097750603
—
TX
Enumeration date
09/20/2006
Last updated
10/23/2008
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