Organization
FAMILY MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BOHNERT (ADMINISTRATOR)
(512) 633-2585
Entity
Organization
Contact information
Practice address
8738 N LAMAR BLVD, AUSTIN, TX 78753-5410
(512) 834-2035
(512) 834-9661
Mailing address
8738 N LAMAR BLVD, AUSTIN, TX 78753-5410
(512) 834-2035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
02/26/2025
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