Registry details
Type
Organization
Primary specialty
Family Medicine
Enumerated
Jan 13, 2026
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5900 BALCONES DR STE 26011 | Austin, TX 78731-4257 | |
| LOCATION | 5900 BALCONES DR STE 26011 | Austin, TX 78731-4257 | 512-200-2565 |
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