| Organization Name: | TRAVIS COUNTY EMPLOYEE WELLNESS & HEALTH |
| NPI Number: | 1932440245 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IMAN N HAMMOUDEH (ADM. ASSIST) |
| Mailing Address: | 1010 Lavaca St # 221 Austin |
| State: | TX US |
| Postal Code: | 787012331 |
| Phone Number: | 5128545509 |
| Fax Number: | 5128544480 |
| NPI Enumeration Date: | 03/12/2013 |
| NPI Last Update Date: | 06/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | M3754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |