| Texas Family Physicians @ River Place | |
|
6618 Sitio Del Rio Blvd Suite B-101 Austin TX 78730-1143 | |
| (512) 524-2336 | |
| Not Available |
| Full Name | Texas Family Physicians @ River Place |
|---|---|
| Speciality | Clinic/Center |
| Location | 6618 Sitio Del Rio Blvd, Austin, Texas |
| Authorized Official Name and Position | Martin C Molina (OWNER) |
| Authorized Official Contact | 5125242336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Family Physicians @ River Place 6618 Sitio Del Rio Blvd Suite B-101 Austin TX 78730-1143 Ph: (512) 524-2336 | Texas Family Physicians @ River Place 6618 Sitio Del Rio Blvd Suite B-101 Austin TX 78730-1143 Ph: (512) 524-2336 |
| NPI Number | 1043480171 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 09/23/2008 |
| Medicare PECOS PAC ID | 6709952401 |
|---|---|
| Medicare Enrollment ID | O20080903000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043480171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M0185 (Texas) | Primary |
| Provider Name | Martin C Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700830338 PECOS PAC ID: 8628043015 Enrollment ID: I20050503000525 |
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