Organization
MSH DIAMONDBACK HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W FRITZ (PRESIDENT)
(512) 524-7321
Entity
Organization
Contact information
Practice address
16219 RANCH ROAD 620, AUSTIN, TX 78717
(512) 673-8624
Mailing address
1320 ARROW POINT DR STE 506, CEDAR PARK, TX 78613-2189
(512) 524-7321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
03/17/2018
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