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1201 N Lakeline Blvd Suite 400 Cedar Park TX 78613-6781 | |
| (512) 379-7272 | |
| (512) 379-7271 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1201 N Lakeline Blvd, Cedar Park, Texas |
| Authorized Official Name and Position | Ashley Whatley (NURSE PRACTITIONER) |
| Authorized Official Contact | 5123797272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1201 N Lakeline Blvd Suite 400 Cedar Park TX 78613-6781 Ph: (512) 379-7272 | 1201 N Lakeline Blvd Suite 400 Cedar Park TX 78613-6781 Ph: (512) 379-7272 |
| NPI Number | 1972529469 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972529469 | NPI | - | NPPES |
| 1780221598 | Other | TX | GROUP NPI |
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