Organization
WEA MEDICAL GROUP, PLLC
Active
Other names
Wellness and Equity Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRISON LOBDELL IV MD (CHIEF MEDICAL OFFICER)
(770) 833-7391
Entity
Organization
Contact information
Practice address
1709 DRAKE AVE, AUSTIN, TX 78704-3526
(770) 833-7391
Mailing address
1709 DRAKE AVE, AUSTIN, TX 78704-3526
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4261893
—
TX
Enumeration date
01/13/2022
Last updated
04/18/2022
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