Freeman Medical Clinic, Pllc

NPI 1780961557 - Family Medicine - 207Q00000X

NPI Details
NPI 1780961557
Enumeration Date 11/08/2011
Last Updated 05/22/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GEORGEANNE GEORGEANNE
Position OWNER/PHYSICIAN
Phone (512) 391-9400
Fax (512) 391-9401
Practice Location
1611 WEST 5TH STREET
SUITE 180
AUSTIN TX, 78703-4891, US
Phone (512) 391-9400
Fax (512) 391-9401
Business Location
1611 WEST 5TH STREET
SUITE 180
AUSTIN TX, 78703-4891, US
Phone (512) 391-9400
Fax (512) 391-9401
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number N2508
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According to our database, Freeman Medical Clinic, Pllc NPI is 1780961557, taxonomy code is 207Q00000X and license number is N2508, license state is located at Texas. Freeman Medical Clinic, Pllc physically located at 1611 West 5th Street, Austin TX, 78703-4891. NPI Number 1033115704 has the healthcare provider type.

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1780961557 NPI number is provided on an as is basis without warranty of any kind. 1780961557 is maintained by the National Plan & Provider Enumeration System. The contents of Freeman Medical Clinic, Pllc are for informational purposes only.