| Atcmhmr Mr Service Coordination | |
|
5225 N Lamar Blvd Austin TX 78751-1820 | |
| (512) 483-5800 | |
| (512) 483-5800 |
| Full Name | Atcmhmr Mr Service Coordination |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 5225 N Lamar Blvd, Austin, Texas |
| Authorized Official Name and Position | James Russel Van Norman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5124404021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atcmhmr Mr Service Coordination Po Box 3548 Austin TX 78764-3548 Ph: (512) 445-7787 | Atcmhmr Mr Service Coordination 5225 N Lamar Blvd Austin TX 78751-1820 Ph: (512) 483-5800 |
| NPI Number | 1346377579 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 09/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346377579 | NPI | - | NPPES |
| 1335424-01 | Medicaid | TX |
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