Agmp

NPI 1154624260 - Internal Medicine - 207R00000X

NPI Details
NPI 1154624260
Enumeration Date 12/10/2010
Last Updated 12/10/2010
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name THOMAS THOMAS
Position MANAGING MEMBER
Phone (512) 630-2467
Fax (888) 335-3210
Practice Location
5111B MARTIN AVE
AUSTIN TX, 78751-2118, US
Phone (512) 630-2467
Fax (888) 335-3210
Business Location
5111B MARTIN AVE
AUSTIN TX, 78751-2118, US
Phone (512) 630-2467
Fax (888) 335-3210
Toxanomy
Taxonomy Code 207R00000X
License State Texas
License Number N5158
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According to our database, Agmp NPI is 1154624260, taxonomy code is 207R00000X and license number is N5158, license state is located at Texas. Agmp physically located at 5111b Martin Ave, Austin TX, 78751-2118. NPI Number 1033115704 has the healthcare provider type.

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1154624260 NPI number is provided on an as is basis without warranty of any kind. 1154624260 is maintained by the National Plan & Provider Enumeration System. The contents of Agmp are for informational purposes only.