| Balcones Family Dental | |
|
9000 Anderson Mill Rd Austin TX 78729 | |
| (512) 331-9088 | |
| (512) 918-9017 |
| Full Name | Balcones Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 9000 Anderson Mill Rd, Austin, Texas |
| Authorized Official Name and Position | Paul Marvin Lounsberry (OWNER) |
| Authorized Official Contact | 5123319088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balcones Family Dental 9000 Anderson Mill Rd Austin TX 78729 Ph: (512) 331-9088 | Balcones Family Dental 9000 Anderson Mill Rd Austin TX 78729 Ph: (512) 331-9088 |
| NPI Number | 1710098439 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710098439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14090 (Texas) | Primary |
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