Unknown Individual – Family Medicine Physician, NPI 1366446056
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
701, East University Avenue, Historic Georgetown, Georgetown, Williamson County, Texas, 78626, United States
GEORGETOWN, TX 786267035
Phone: (512) 863-9208
Fax: (512) 864-7238
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 78626)
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