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1699044800
BALCONES DERMATOLOGY ASSOCIATES, P.A.
AUSTIN, TX
NPI
1699044800
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Entity Type
Organization
Authorized Contact
DAVID A BUSHORE
President, Owner
512-459-4869
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: TX L6307)
Enumeration Date
2011-12-16
Last Update Date
2011-12-16
Business Address
BALCONES DERMATOLOGY ASSOCIATES, P.A.
8240 N. MO PAC EXPWY, STE 350
AUSTIN, TX 78759
Phone number: 512-459-4869
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Mailing Address
BALCONES DERMATOLOGY ASSOCIATES, P.A.
8240 N. MO PAC EXPWY, STE 350
AUSTIN, TX 78759
Phone number: 512-459-4869
Copy
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