Organization · Type 2 NPI

Utmb Faculty Group Practice

Multi-Specialty Clinic/Center · Austin, TX

NPI number 1114968294 Active

Practice location

313 E 12th St
Austin, TX 78701-1954

Mailing address

P O Box 4797-710
Houston, TX 77210-4797

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1114968294

Utmb Faculty Group Practice's National Provider Identifier is 1114968294, issued on Jun 9, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Austin, TX. The record was last updated on Sep 22, 2009.