Brookside Womens Medical Center
Specialist in Austin, TX. Organization (NPI-2).
NPI number1316004674
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1316004674
- Entity type
- Organization (NPI-2)
- Legal business name
- Brookside Womens Medical Center
- Organization subpart
- No
- Enumeration date
- Jan 3, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1902 S I H 35Austin, TX 78704-3628
Phone 512-443-9595
Mailing address
1902 S I H 35Austin, TX 78704-3628
Authorized official
Lendol Davis
Clinical Director
5124439595
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