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1871982645
BRANT ALEXANDER VICTOR
AUSTIN, TX
NPI
1871982645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2015-01-16
Last Update Date
2022-01-19
Business Address
Mr. BRANT ALEXANDER VICTOR MPAS PA-C
1301 W 38TH ST MEDICAL PARK TOWER SUITE 102
AUSTIN, TX 78705-1000
Phone number: 512-454-4561
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Mailing Address
Mr. BRANT ALEXANDER VICTOR MPAS PA-C
4515 SETON CENTER PKWY SUITE 215-CREDENTIALING
AUSTIN, TX 78759-5290
Phone number: 512-231-5516
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