| Buck Dodson Coaching | |
|
4107 Medical Pkwy Ste 106 Austin TX 78756-3701 | |
| (312) 636-7008 | |
| Not Available |
| Full Name | Buck Dodson Coaching |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4107 Medical Pkwy Ste 106, Austin, Texas |
| Authorized Official Name and Position | Buck A Dodson (OWNER) |
| Authorized Official Contact | 3126367008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buck Dodson Coaching 2500 Walsh Tarlton Ln Apt 1424 Austin TX 78746-7765 Ph: (312) 636-7008 | Buck Dodson Coaching 4107 Medical Pkwy Ste 106 Austin TX 78756-3701 Ph: (312) 636-7008 |
| NPI Number | 1194355735 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194355735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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