Parmer Lane Medical Office LLC

NPI #1407409436 in Cedar Park, Texas

Provider Information

NPI Number
1407409436
Entity Type
Organization
Organization Name
Parmer Lane Medical Office LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BRIAN S. EARTHMAN MD PA
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Jul 18, 2019
Last Updated
Jul 18, 2019

Practice Location

Address
11901 W PARMER LN STE 310
State
Texas
ZIP Code
78613-7654
Phone
(512) 528-9498

Authorized Official

Name
DR. BRIAN STUART EARTHMAN, MD
Title
PRESIDENT/OWNER
Phone
(512) 528-9498

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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