| Billwoodburnlpc, P.c. | |
|
5758 Balcones Dr Ste 102 Austin TX 78731-4247 | |
| (512) 458-2875 | |
| Not Available |
| Full Name | Billwoodburnlpc, P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5758 Balcones Dr Ste 102, Austin, Texas |
| Authorized Official Name and Position | Bill Woodburn (DIRECTOR) |
| Authorized Official Contact | 5124582875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Billwoodburnlpc, P.c. 10303 E Rutland Vlg Austin TX 78758-5517 Ph: (512) 458-2875 | Billwoodburnlpc, P.c. 5758 Balcones Dr Ste 102 Austin TX 78731-4247 Ph: (512) 458-2875 |
| NPI Number | 1750521175 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 05/24/2021 |
| Certification Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750521175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC 10121 (Texas) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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