Organization
LAKE TRAVIS EMERGENCY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CAMPBELL (DIRECTOR OF PATIENT ACCESS)
(512) 948-1752
Entity
Organization
Contact information
Practice address
5012 RANCH ROAD 620 NORTH, AUSTIN, TX 78732
(512) 260-2732
Mailing address
5012 RANCH ROAD 620 NORTH, AUSTIN, TX 78732
(512) 260-2732
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
11/02/2017
Last updated
10/16/2024
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