Organization
CENTURY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN ANDERSON (PRESIDENT)
(281) 635-9634
Entity
Organization
Contact information
Practice address
1600 W 38TH ST STE 312, AUSTIN, TX 78731-6406
(281) 635-9634
Mailing address
1600 W 38TH ST STE 312, AUSTIN, TX 78731-6406
(281) 635-9634
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208200000X
Plastic Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36513
MEDICARE PTAN
TX
Enumeration date
05/13/2013
Last updated
03/01/2014
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