AGELESS ABANDON

LAKEWAY, TX
NPI1992092951
Entity TypeOrganization
Authorized ContactTRACY M. GANSKE
CEO
512-459-4400
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: TX  G5718)
Enumeration Date2011-06-28
Last Update Date2011-06-28
Business Address
AGELESS ABANDON
103 TAMARAC CT
LAKEWAY, TX 78734-4666
Phone number: 512-459-4400
Mailing Address
AGELESS ABANDON
1010 W 9TH ST
AUSTIN, TX 78703-4924
Phone number: 512-459-4400
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