Premier Gynecology of Austin

NPI #1215204540 in Austin, Texas

Provider Information

NPI Number: 1215204540
Entity Type: Organization
Organization Name: Premier Gynecology of Austin
Primary Specialty: Acupuncturist
Enumeration Date: Dec 1, 2011
Last Updated: Dec 1, 2011

Practice Location

Address: 1010 W 9TH ST
City: Austin
State: Texas
ZIP Code: 78703-4924
Phone: (512) 459-4405

Authorized Official

Name: SCREVEN EDGERTON, MD
Title: MEDICAL DIRECTOR
Phone: (512) 459-4405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Gynecology — Gynecology	207VG0400X
Acupuncturist	171100000X	Primary

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