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Neurology Clinic PA

Psychiatry & Neurology, Neurology in Austin, TX. Organization (NPI-2).

NPI number1699190876
StatusActive
Last updated in NPPESFeb 25, 2014

Details

NPI
1699190876
Entity type
Organization (NPI-2)
Legal business name
Neurology Clinic PA
Organization subpart
No
Enumeration date
Feb 25, 2014
Last updated
Feb 25, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes
2084N0600X ––

Practice location

601 W 17th St
Austin, TX 78701-1103

Phone 512-708-9200 · Fax 512-532-6261

Mailing address

601 W 17th St
Austin, TX 78701-1103

Phone 512-708-9200 · Fax 512-532-6261

Authorized official

Rebecca M Verellen
President
5124582600

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