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Organization

AEC ER 4 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODY HARDY (DIRECTOR PHYSICIAN / PATIENT RELATI)
(972) 345-3470
Entity
Organization

Contact information

Practice address
1801 E 51ST ST BLDG H, AUSTIN, TX 78723-3434
(972) 345-3470
Mailing address
4015 S LAMAR BLVD, AUSTIN, TX 78704
(972) 345-3470

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary

Other

Enumeration date
09/21/2018
Last updated
09/21/2018
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