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Southwestern Colon & Rectal Surgery, Pa
Specialist in Austin, Texas
NPI 1083716138

Southwestern Colon & Rectal Surgery, Pa is a Specialist based in Austin, TX. Southwestern Colon & Rectal Surgery, Pa practices in Austin, TX. The NPI Number for Southwestern Colon & Rectal Surgery, Pa is 1083716138 and holds a License No. L1757 (Texas).

The current practice location address for Southwestern Colon & Rectal Surgery, Pa is 4007 James Casey Dr Ste D150, Austin, TX and can be reached out via phone at 512-447-8911 and via fax at 512-447-8761.

Location: 4007 James Casey Dr Ste D150, Austin, TX, 78745-3346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083716138
Provider Name
Southwestern Colon & Rectal Surgery, Pa
Credential
Provider Entity Type
Organization
Address
4007 James Casey Dr Ste D150, Austin, TX, 78745-3346
Phone Number
512-447-8911
Fax Number
512-447-8761
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8B9880 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
4007 James Casey Dr Ste D150
City
Austin
State
Texas
Zip
78745-3346
Phone Number
512-447-8911
Fax Number
512-447-8761
person
Provider Business Mailing Address Details
Address
4007 James Casey Dr Ste D150
City
Austin
State
Texas
Zip
78745-3346
Phone Number
512-447-8911
Fax Number
512-447-8761
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
L1757 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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