PREMIER GYNECOLOGY OF AUSTIN NPI 1902119639

NPI Information

PREMIER GYNECOLOGY OF AUSTIN is a gynecology obstetrics gynecology in Austin, TX. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee PREMIER GYNECOLOGY OF AUSTIN NPI is 1902119639. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Premier Gynecology.

The provider's business location address is:

1010 W 9TH ST
AUSTIN, TX
ZIP 78703-924
Phone: (512) 299-5955

The provider's authorized official is Screven Tracy Edgerton .
The authorized official title is Ceo and has the following contact phone number (512) 299-5955.

The CLIA number assigned to this NPI record is 45D2029314 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2010 and was last updated on 7/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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