Organization
CRISCAR P.A.
Active
Organization
CRISCAR P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA JOSEFINA FUENMAYOR M.D. (PRESIDENT)
(512) 467-2500
Entity
Organization
Contact information
Practice address
3215 STECK AVE STE 205, AUSTIN, TX 78757-7584
(512) 467-2500
(512) 467-2502
Mailing address
3215 STECK AVE STE 205, AUSTIN, TX 78757-7584
(512) 467-2500
(512) 467-2502
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
M9292
TX
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
Update your record
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