Wiseman Family Practice Pllc

NPI 1598195042 - Family Medicine - 207Q00000X

NPI Details
NPI 1598195042
Enumeration Date 11/20/2013
Last Updated 11/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name LAURA LAURA
Position MGR
Phone (512) 345-8970
Fax (512) 345-6689
Practice Location
2500 S LAKELINE BLVD
SUITE 100
CEDAR PARK TX, 78613-2967, US
Phone (512) 345-8970
Fax (512) 345-6689
Business Location
2500 S LAKELINE BLVD
SUITE 100
CEDAR PARK TX, 78613-2967, US
Phone (512) 345-8970
Fax (512) 345-6689
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number M9746
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According to our database, Wiseman Family Practice Pllc NPI is 1598195042, taxonomy code is 207Q00000X and license number is M9746, license state is located at Texas. Wiseman Family Practice Pllc physically located at 2500 S Lakeline Blvd, Cedar Park TX, 78613-2967. NPI Number 1033115704 has the healthcare provider type.

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1598195042 NPI number is provided on an as is basis without warranty of any kind. 1598195042 is maintained by the National Plan & Provider Enumeration System. The contents of Wiseman Family Practice Pllc are for informational purposes only.