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2501 W William Cannon Dr Suite 401 Austin TX 78745-5281 | |
| (512) 416-7246 | |
| (512) 275-2833 |
| Full Name | |
|---|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 2501 W William Cannon Dr, Austin, Texas |
| Authorized Official Name and Position | Robert P. Wills (PRESIDENT) |
| Authorized Official Contact | 5124167246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2501 W William Cannon Dr Suite 401 Austin TX 78745-5281 Ph: (512) 416-7246 | 2501 W William Cannon Dr Suite 401 Austin TX 78745-5281 Ph: (512) 416-7246 |
| NPI Number | 1134412562 |
|---|---|
| Provider Enumeration Date | 05/18/2011 |
| Last Update Date | 12/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134412562 | NPI | - | NPPES |
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