| Fyt Clinic, Pllc | |
|
10200 W Us Highway 290 Ste 12 Austin TX 78736-7724 | |
| (512) 923-7716 | |
| Not Available |
| Full Name | Fyt Clinic, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10200 W Us Highway 290 Ste 12, Austin, Texas |
| Authorized Official Name and Position | Bill Lee Deggs (PRESIDENT) |
| Authorized Official Contact | 5129237716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fyt Clinic, Pllc 17400 Lake Wood Cir Dripping Springs TX 78620-2659 Ph: (512) 923-7716 | Fyt Clinic, Pllc 10200 W Us Highway 290 Ste 12 Austin TX 78736-7724 Ph: (512) 923-7716 |
| NPI Number | 1841025988 |
|---|---|
| Provider Enumeration Date | 09/06/2024 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841025988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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