| Hostetler Wellness Center Pc | |
|
11904 Broad Leaf Cv Austin TX 78750-1390 | |
| (512) 627-1396 | |
| Not Available |
| Full Name | Hostetler Wellness Center Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11904 Broad Leaf Cv, Austin, Texas |
| Authorized Official Name and Position | Patricia K Hostetler (PRESIDENT) |
| Authorized Official Contact | 5126271396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hostetler Wellness Center Pc 11904 Broad Leaf Cv Austin TX 78750-1390 Ph: () - | Hostetler Wellness Center Pc 11904 Broad Leaf Cv Austin TX 78750-1390 Ph: (512) 627-1396 |
| NPI Number | 1578845590 |
|---|---|
| Provider Enumeration Date | 09/15/2011 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578845590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 15785 (Texas) | Primary |
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