Utmb Austin - Initiatives

NPI 1427099506 - Clinic/Center - 261QM1300X

NPI Details
NPI 1427099506
Enumeration Date 06/09/2006
Last Updated 09/22/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CYNTHIA L. CYNTHIA
Position DIRECTOR
Phone (409) 772-2222
Fax
Practice Location
313 E 12TH ST
STE. 104
AUSTIN TX, 78701-1954, US
Phone (409) 772-2222
Fax
Business Location
P O BOX 4797-710
HOUSTON TX, 77210-4797, US
Phone (409) 772-2222
Fax
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
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According to our database, Utmb Austin - Initiatives NPI is 1427099506, taxonomy code is 261QM1300X Utmb Austin - Initiatives physically located at 313 E 12th St, Austin TX, 78701-1954. NPI Number 1033115704 has the healthcare provider type.

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1427099506 NPI number is provided on an as is basis without warranty of any kind. 1427099506 is maintained by the National Plan & Provider Enumeration System. The contents of Utmb Austin - Initiatives are for informational purposes only.