Organization
CHRISTINE M. EADY, P.A.
Active
Other names
CHRISTINE M. EADY, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE M. EADY D.O. (PHYSICIAN)
(512) 733-2600
Entity
Organization
Contact information
Practice address
15808 HIGHWAY RR 620 N STE 100, AUSTIN, TX 78717-4923
(512) 733-2600
(512) 733-2604
Mailing address
15808 HIGHWAY RR 620 N, SUITE 100, AUSTIN, TX 78717-4922
(512) 733-2600
(512) 733-2604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041005202
—
TX
01
—
82561X
BCBS
TX
Enumeration date
11/09/2007
Last updated
07/01/2008
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