Austin Internal Medicine Clinic, PA
Internal Medicine in Austin, TX. Organization (NPI-2).
NPI number1982804274
StatusActive
Last updated in NPPESApr 30, 2008
Details
- NPI
- 1982804274
- Entity type
- Organization (NPI-2)
- Legal business name
- Austin Internal Medicine Clinic, PA
- Organization subpart
- No
- Enumeration date
- Jul 24, 2007
- Last updated
- Apr 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | E6239 | TX | Yes |
Practice location
1701 W Ben White BlvdSuite 140
Austin, TX 78704-7667
Phone 512-441-8666 · Fax 512-441-8698
Mailing address
1701 W Ben White BlvdSuite 140
Austin, TX 78704-7667
Phone 512-441-8666 · Fax 512-441-8698
Authorized official
Tom Martens
President
5124418666
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