Individual
CARRIE BOBICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3708 JEFFERSON ST STE A, AUSTIN, TX 78731-6206
(512) 459-6503
(512) 454-7453
Mailing address
13376 RESEARCH BLVD, STE 110, AUSTIN, TX 78750-2257
(737) 346-3499
(737) 346-3501
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04522
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
437452YMVU
WELLMED NETWORKS INC
—
Enumeration date
12/13/2005
Last updated
02/05/2019
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