Organization · Type 2 NPI

Copper Ridge Medical PA

Clinic/Center · Georgetown, TX

NPI number 1750557641 Active

Practice location

7600 Highway 29 W, Ste #5
Georgetown, TX 78628-6937

Call (512) 930-0363 Map

Fax (512) 930-0371

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XG1494 (TX)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3 other providers at this address

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About NPI 1750557641

Copper Ridge Medical PA's National Provider Identifier is 1750557641, issued on May 1, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Georgetown, TX. The record was last updated on Jun 17, 2009.