Organization
BRUSHY CREEK FAMILY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY KAY CHRISTENSEN (BILLING AR/AP)
(512) 218-8696
Entity
Organization
Contact information
Practice address
7200 WYOMING SPGS, SUITE #1500, ROUND ROCK, TX 78681-4303
(512) 218-8696
(512) 218-9532
Mailing address
7200 WYOMING SPGS, SUITE #1500, ROUND ROCK, TX 78681-4303
(512) 218-8696
(512) 218-9532
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030CV
BCBS
TX
05
—
092289003
—
TX
01
—
CJ8946
RAILROAD MEDICARE
—
Enumeration date
06/01/2006
Last updated
02/02/2009
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