Organization · NPI-2
Austin Integrative Medical Group PLLC
Physical Medicine & Rehabilitation · Austin, TX
NPI number1285035972
StatusActive
Last updated in NPPESOct 11, 2018
Details
- NPI
- 1285035972
- Entity type
- Organization (NPI-2)
- Legal business name
- Austin Integrative Medical Group PLLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2014
- Last updated
- Oct 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
4316 James Casey StBldg B Ste 210
Austin, TX 78745-1116
Phone 512-442-2727 · Fax 512-442-2728
Mailing address
Po Box 5898Austin, TX 78763-5898
Phone 512-442-2727 · Fax 512-442-2728
Authorized official
Jeffrey W Fluitt
Owner
5124422727
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