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1962104521
CHILDREN'S MEDICAL GROUP OF AUSTIN
AUSTIN, TX
NPI
1962104521
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Entity Type
Organization
Authorized Contact
LORRAINE EDRY SALEK POWELL
Physician
512-535-8243
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2023-03-20
Last Update Date
2024-08-27
Business Address
CHILDREN'S MEDICAL GROUP OF AUSTIN
631 W 38TH ST
AUSTIN, TX 78705-1250
Phone number: 512-451-5161
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Mailing Address
CHILDREN'S MEDICAL GROUP OF AUSTIN
631 W 38TH ST
AUSTIN, TX 78705-1250
Phone number: 512-451-5161
Copy
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