| Austinocd | |
|
6633 E Hwy 290 Suite 300 Austin TX 78723-1172 | |
| (512) 327-9494 | |
| (512) 637-5578 |
| Full Name | Austinocd |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 6633 E Hwy 290, Austin, Texas |
| Authorized Official Name and Position | Bruce Mansbridge (DIRECTOR) |
| Authorized Official Contact | 5126263900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austinocd 6633 E Hwy 290 Suite 300 Austin TX 78723-1172 Ph: (512) 327-9494 | Austinocd 6633 E Hwy 290 Suite 300 Austin TX 78723-1172 Ph: (512) 327-9494 |
| NPI Number | 1275860348 |
|---|---|
| Provider Enumeration Date | 11/11/2009 |
| Last Update Date | 11/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275860348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 31754 (Texas) | Primary |
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