Specialists In Family Medicine PA
Family Medicine in Cedar Park, TX. Organization (NPI-2).
NPI number1720149321
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720149321
- Entity type
- Organization (NPI-2)
- Legal business name
- Specialists In Family Medicine PA
- Organization subpart
- No
- Enumeration date
- Dec 13, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | H9238 | TX | Yes |
Practice location
901 Cypress Creek RdBuilding 1, Suite 100
Cedar Park, TX 78613
Phone 512-615-9191
Mailing address
901 Cypress Creek RdBuilding 1, Suite 100
Cedar Park, TX 78613
Authorized official
Wendy Merola
MD
5126159191
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