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Individual

DR. MARILYN JEAN VACHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3724 JEFFERSON ST, STE 206, AUSTIN, TX 78731-6225
(512) 458-1000
(512) 458-1002
Mailing address
3724 JEFFERSON ST, STE 206, AUSTIN, TX 78731
(512) 458-1000
(512) 458-1002

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
23152
AZ
2084P0800X
Psychiatry Physician
C39289
CA
2084P0800X
Psychiatry Physician
Primary
F3366
TX

Other

Enumeration date
07/26/2006
Last updated
07/21/2008
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