Waterloo Med Co

NPI 1588964662 - Emergency Medicine - 207P00000X

NPI Details
NPI 1588964662
Enumeration Date 10/23/2010
Last Updated 10/29/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JEFFREY JEFFREY
Position CEO
Phone (512) 767-2074
Fax
Practice Location
6800 W GATE BLVD
STE 132-309
AUSTIN TX, 78745-4883, US
Phone (512) 767-2074
Fax
Business Location
6800 W GATE BLVD
STE 132-309
AUSTIN TX, 78745-4883, US
Phone (512) 767-2074
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Texas
License Number K5965
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According to our database, Waterloo Med Co NPI is 1588964662, taxonomy code is 207P00000X and license number is K5965, license state is located at Texas. Waterloo Med Co physically located at 6800 W Gate Blvd, Austin TX, 78745-4883. NPI Number 1033115704 has the healthcare provider type.

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1588964662 NPI number is provided on an as is basis without warranty of any kind. 1588964662 is maintained by the National Plan & Provider Enumeration System. The contents of Waterloo Med Co are for informational purposes only.