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Organization

LAKE AUSTIN EYE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GINA R COTTLE M.D. (PRESIDENT)
(512) 263-1113
Entity
Organization

Contact information

Practice address
11614 BEE CAVES RD STE 110, AUSTIN, TX 78738-5551
(512) 263-1113
(512) 263-1119
Mailing address
3944 RR 620 S STE 222, AUSTIN, TX 78738-7000
(512) 263-1113
(512) 263-1119

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
07/16/2012
Last updated
12/27/2019
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