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Individual

MICHAEL LYNN NIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
313 E 12TH ST, STE 104, AUSTIN, TX 78701-1954
(512) 324-9650
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 327-8960

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
L3043
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150334404
TX
Enumeration date
12/15/2006
Last updated
01/18/2013
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