Pondworks Pa | |
3636 Executive Center Dr Ste G70 Austin TX 78731-1628 | |
(512) 371-9555 | |
(512) 367-5756 |
Full Name | Pondworks Pa |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3636 Executive Center Dr Ste G70, Austin, Texas |
Authorized Official Name and Position | Bernard C. Kim (PHYSICIAN) |
Authorized Official Contact | 5123719555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pondworks Pa 3636 Executive Center Dr Ste G70 Austin TX 78731-1628 Ph: (512) 371-9555 | Pondworks Pa 3636 Executive Center Dr Ste G70 Austin TX 78731-1628 Ph: (512) 371-9555 |
NPI Number | 1124139506 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 03/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124139506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | L8767 (Texas) | Primary |
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