Unknown Individual – Family Medicine Physician, NPI 1447250790
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
105, Wildwood Drive, Georgetown, Williamson County, Texas, 78633, United States
SUITE 201
GEORGETOWN, TX 786281343
Phone: (512) 763-3220
Fax: (512) 763-3221
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78628)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TX | 81002 | Urinalysis, manual test | 21 | 18 |
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