LILAC BOTBOL

AUSTIN, TX
NPI1215286919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP122327)
Enumeration Date2012-09-10
Last Update Date2022-08-19
Business Address
-- LILAC BOTBOL
1606 GAYLORD DR
AUSTIN, TX 78728-5712
Phone number: 512-965-9120
Mailing Address
-- LILAC BOTBOL
1606 GAYLORD DR
AUSTIN, TX 78728-5712
Phone number:
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