Organization
GREAT STATE OF TEXAS PALLIATIVE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON R. FOUGHT M.D. (PARTNER)
(512) 217-2782
Entity
Organization
Contact information
Practice address
11211 TAYLOR DRAPER LN, STE 202, AUSTIN, TX 78759-3916
(512) 674-9010
(512) 674-9058
Mailing address
404 ALMARION DR, AUSTIN, TX 78746-5613
(512) 674-9010
(512) 674-9058
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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