Organization
AUSTIN MEDICAL GROUP,PLLC
Active
Other names
COPPER RIDGE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOVE D PAUL MD (OWNER)
(512) 837-6000
Entity
Organization
Contact information
Practice address
7600 HIGHWAY 29 W, SUITE 5, GEORGETOWN, TX 78628-6937
(512) 930-0363
(512) 830-0371
Mailing address
7600 HIGHWAY 29 W, SUITE 5, GEORGETOWN, TX 78628-6937
(512) 930-0363
(512) 830-0371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F7516
TX
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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