Individual
DR. GEORGE J MUNDANTHANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5701 W SLAUGHTER LN, A130-442, AUSTIN, TX 78749-6527
(512) 301-4263
Mailing address
5701 W SLAUGHTER LN, A130-442, AUSTIN, TX 78749-6527
(512) 301-4263
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N7152
TX
207XS0106X
Orthopaedic Hand Surgery Physician
N7152
TX
Other
Enumeration date
03/07/2008
Last updated
12/14/2015
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