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1376003764
LISA MARIE MEREDITH BOURBEAU
AUSTIN, TX
NPI
1376003764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: TX U3794)
Enumeration Date
2019-03-21
Last Update Date
2023-08-04
Business Address
LISA MARIE MEREDITH BOURBEAU DO
11111 RESEARCH BLVD
AUSTIN, TX 78759-5264
Phone number: 512-324-6000
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Mailing Address
LISA MARIE MEREDITH BOURBEAU DO
6210 E HWY 290
AUSTIN, TX 78723-1142
Phone number: 512-483-9596
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