Individual
CHARISSE BANAWIS LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
940 W UNIVERSITY AVE STE 105, GEORGETOWN, TX 78626-5430
(512) 763-5149
Mailing address
13520 OREGON FLATS TRL, AUSTIN, TX 78727-6363
(512) 450-4345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP133397
TX
Other
Enumeration date
04/06/2017
Last updated
10/20/2023
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