| .sunstar Geriatrics Healthcare Pa | |
|
501 S Austin Ave Suite 1320 Georgetown TX 78626-5610 | |
| (512) 868-9078 | |
| (512) 819-0646 |
| Full Name | .sunstar Geriatrics Healthcare Pa |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 501 S Austin Ave, Georgetown, Texas |
| Authorized Official Name and Position | Maryann M Choi (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5128689078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| .sunstar Geriatrics Healthcare Pa 501 S Austin Ave Suite 1320 Georgetown TX 78626-5610 Ph: (512) 868-9078 | .sunstar Geriatrics Healthcare Pa 501 S Austin Ave Suite 1320 Georgetown TX 78626-5610 Ph: (512) 868-9078 |
| NPI Number | 1033151428 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 04/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033151428 | NPI | - | NPPES |
| 173285101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | K9039 (Texas) | Primary |
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