Organization
LUNA MEDICINE
Active
Other names
Austin Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M. HAEST M.D. (PRESIDENT)
(512) 473-8900
Entity
Organization
Contact information
Practice address
1700 S LAMAR BLVD, SUITE 240, AUSTIN, TX 78704-8962
(512) 473-8900
(512) 472-9898
Mailing address
1700 S LAMAR BLVD, SUITE 240, AUSTIN, TX 78704-8962
(512) 473-8900
(512) 472-9898
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F9520
TX
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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