Organization
SAN GABRIEL FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE AUGUSTIN-WHEELER M.D. (PHYSICIAN/CEO)
(512) 986-8858
Entity
Organization
Contact information
Practice address
921 W NEW HOPE DR, SUITE 401, CEDAR PARK, TX 78613-6784
(512) 986-8858
(512) 986-8853
Mailing address
921 W NEW HOPE DR, SUITE 401, CEDAR PARK, TX 78613-6784
(512) 986-8858
(512) 986-8853
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
N1984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396777355
NPI
—
Enumeration date
02/08/2011
Last updated
02/08/2011
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