| The Brain And Body Health Institute, P.a. | |
|
3207 R R 620 South Suite B Lakeway TX 78738-6872 | |
| (512) 981-5801 | |
| (512) 857-6920 |
| Full Name | The Brain And Body Health Institute, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3207 R R 620 South, Lakeway, Texas |
| Authorized Official Name and Position | Robert W Van Boven (PRESIDENT/CEO) |
| Authorized Official Contact | 5129815801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Brain And Body Health Institute, P.a. 3207 R R 620 South Suite B Lakeway TX 78738-6872 Ph: (512) 981-5801 | The Brain And Body Health Institute, P.a. 3207 R R 620 South Suite B Lakeway TX 78738-6872 Ph: (512) 981-5801 |
| NPI Number | 1679979223 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/20/2014 |
| Medicare PECOS PAC ID | 0941524870 |
|---|---|
| Medicare Enrollment ID | O20150123000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679979223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | P5901 (Texas) | Primary |
| Provider Name | Robert W Van Boven |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316000326 PECOS PAC ID: 6305744608 Enrollment ID: I20130920000772 |
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