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5900 Balcones Dr # 20847 Austin TX 78731-4257 | |
| (646) 397-0433 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5900 Balcones Dr # 20847, Austin, Texas |
| Authorized Official Name and Position | Vasileios Panagopoulos (CEO) |
| Authorized Official Contact | 6463970433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5900 Balcones Dr # 20847 Austin TX 78731-4257 Ph: () - | 5900 Balcones Dr # 20847 Austin TX 78731-4257 Ph: (646) 397-0433 |
| NPI Number | 1093536971 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 11/27/2024 |
| Certification Date | 11/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093536971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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