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Organization

CAPITAL MEDICAL GROUP TRUST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER HAGER (ADMINISTRATOR)
(512) 454-5171
Entity
Organization

Contact information

Practice address
1301 W 38TH ST, SUITE 601, AUSTIN, TX 78705-1000
(512) 454-5171
Mailing address
1301 WEST 38TH STREET, SUITE 601, AUSTIN, TX 78705

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
06/07/2006
Last updated
04/08/2008
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