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901 S Mo Pac Expy Building 1, Suite 300 Austin TX 78746 | |
(760) 994-4990 | |
(866) 899-8670 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 901 S Mo Pac Expy, Austin, Texas |
Authorized Official Name and Position | Iain Crabb (CFO/SECRETARY/ADMINISTRATOR) |
Authorized Official Contact | 7609944990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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911 Lakeville St # 322 Petaluma CA 94952-3329 Ph: (760) 994-4990 | 901 S Mo Pac Expy Building 1, Suite 300 Austin TX 78746 Ph: (760) 994-4990 |
NPI Number | 1295180271 |
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Provider Enumeration Date | 04/27/2016 |
Last Update Date | 11/07/2018 |
Identifier | Type | State | Issuer |
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1295180271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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