Individual
ANTSE ATANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
3324 RR 620 S, AUSTIN, TX 78738-6804
(512) 533-6100
Mailing address
3324 RR 620 S, AUSTIN, TX 78738-6804
(512) 533-6100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT5136
TX
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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