| Atc Hhsd Immunization Program | |
|
15 Waller St Ste 410 Austin TX 78702-5240 | |
| (512) 972-6216 | |
| (512) 972-6225 |
| Full Name | Atc Hhsd Immunization Program |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 15 Waller St, Austin, Texas |
| Authorized Official Name and Position | David Lurie (DIRECTOR) |
| Authorized Official Contact | 5129725010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atc Hhsd Immunization Program 15 Waller St Ste 410 Austin TX 78702-5240 Ph: (512) 972-6216 | Atc Hhsd Immunization Program 15 Waller St Ste 410 Austin TX 78702-5240 Ph: (512) 972-6216 |
| NPI Number | 1578749305 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578749305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | () | Primary |
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