Organization
GREAT HILLS ENT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK THOMAS BROWN M.D. (OWNER)
(512) 258-2300
Entity
Organization
Contact information
Practice address
11762 JOLLYVILLE RD, AUSTIN, TX 78759-3937
(512) 258-2300
(512) 904-2294
Mailing address
11762 JOLLYVILLE RD, AUSTIN, TX 78759-3937
(512) 258-2300
(512) 904-2294
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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