Spine Informatics Austin, LLC
NPI #1417476912 in West Lake Hills, Texas
Provider Information
- NPI Number
- 1417476912
- Entity Type
- Organization
- Organization Name
- Spine Informatics Austin, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Sep 15, 2017
- Last Updated
- Sep 15, 2017
Practice Location
- Address
- 110 WILD BASIN RD STE 250
- City
- West Lake Hills
- State
- Texas
- ZIP Code
- 78746-3352
- Phone
- (512) 531-9912
Authorized Official
- Name
- MR. GERALD LEE DEVRIES JR., INVESTOR
- Title
- GENERAL MANAGER
- Phone
- (512) 913-1834
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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