Organization
BROOKSIDE WOMENS MEDICAL SERVICES, PA
Active
Other names
Brookside Womens Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
LENDOL L. DAVIS M.D. (OWNER)
(512) 443-9595
Entity
Organization
Contact information
Practice address
1902 S I H 35, AUSTIN, TX 78704-3628
(512) 443-9595
Mailing address
1902 S I H 35, AUSTIN, TX 78704-3628
(512) 443-9595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179483601
—
TX
Enumeration date
01/26/2007
Last updated
10/26/2023
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