Organization Name: | SETON/UT SOUTHWESTERN UNIVERSITY PHYSICIANS GROUP |
NPI Number: | 1508896804 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA L HARVEY (BILLING MANAGER) |
Mailing Address: | 601 E 15th St Austin |
State: | TX US |
Postal Code: | 787011930 |
Phone Number: | 5123248960 |
Fax Number: | 5123248960 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 02/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
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Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
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