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15 Waller St Suite 410 Austin TX 78702-5240 | |
| (512) 972-5805 | |
| (512) 972-6225 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 15 Waller St, Austin, Texas |
| Authorized Official Name and Position | Adolfo Miguel Valadez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5129725805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15 Waller St Suite 410 Austin TX 78702-5240 Ph: (512) 972-5805 | 15 Waller St Suite 410 Austin TX 78702-5240 Ph: (512) 972-5805 |
| NPI Number | 1629139738 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629139738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | L6691 (Texas) | Primary |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
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