Develop Common Ground, Llc | |
5708 Penny Creek Dr Austin TX 78759-4815 | |
(512) 231-1721 | |
Not Available |
Full Name | Develop Common Ground, Llc |
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Speciality | Community/behavioral Health |
Location | 5708 Penny Creek Dr, Austin, Texas |
Authorized Official Name and Position | Kari Ramachandran (OWNER) |
Authorized Official Contact | 5122311721 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Develop Common Ground, Llc 5708 Penny Creek Dr Austin TX 78759-4815 Ph: (512) 231-1721 | Develop Common Ground, Llc 5708 Penny Creek Dr Austin TX 78759-4815 Ph: (512) 231-1721 |
NPI Number | 1003148354 |
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Provider Enumeration Date | 02/10/2010 |
Last Update Date | 02/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003148354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 109814 (Texas) | Primary |
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