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Organization

DR. AV, PLLC

Active
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Organization

DR. AV, PLLC

Active
Other names
Dr. AV, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
ALEKSANDRA VIDACIC M.D (HEALTHCARE PROFESSIONAL)
(210) 787-6621
Entity
Organization

Contact information

Practice address
210 LEE BARTON DR, UNIT # 206, AUSTIN, TX 78704-1045
(210) 787-6621
(512) 904-5603
Mailing address
PO BOX 684905, AUSTIN, TX 78768-4905
(210) 787-6621
(512) 904-5603

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N4181
TX

Other

Enumeration date
11/26/2013
Last updated
11/30/2013
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