Unknown Individual – Family Medicine Physician, NPI 1982628293
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2404, Rio Grande Street, The Drag, Austin, Travis County, Texas, 78705, United States
AUSTIN, TX 787054813
Phone: (512) 569-5795
Fax: (512) 473-2605
Type: Mailing
3839, Bee Caves Road, West Lake Hills, Travis County, Texas, 78746, United States
SUITE 202
WEST LAKE HILLS, TX 787466401
Phone: (512) 569-5795
Fax: (512) 473-2605
Type: Location
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78705)
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