| |
4200 East Stan Schlueter Loop, Ste E, Colleen, TX 76542 | |
(888) 788-2225 | |
(512) 323-9232 |
Full Name | |
---|---|
Type | Facility |
Speciality | Internal Medicine |
Location | 4200 East Stan Schlueter Loop, Colleen, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326403718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Texas) | Secondary |
207R00000X | Internal Medicine | (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
4101 Marathon Blvd, Austin, TX 78756-3719 Ph: (512) 323-9222 | 4200 East Stan Schlueter Loop, Ste E, Colleen, TX 76542 Ph: (888) 788-2225 |