Community Care Consortium
Community Care Consortium is a Family Medicine Physician in Austin, Texas. Licensed in Texas. Registered with an NPI since 2010.
- Licensed in
- TX
- In the registry since
- 2010
- Specialties on file
- 5
Practice location Address checks out
10204 Birdlip CirAustin, TX 78733-3415
Phone: (512) 374-0401
Fax: (512) 374-0409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X · Licence F1884 (TX) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence J2712 (TX) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence D9687 (TX) |
| General Practice Physician | Taxonomy 208D00000X · Licence B6359 (TX) |
| General Practice Physician | Taxonomy 208D00000X · Licence F1450 (TX) |
Record details
| NPI number | 1023321122 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Parker — Manager · (512) 374-0401 |
| NPI enumerated | July 16, 2010 |
| Last updated in NPPES | May 25, 2012 |
| Mailing address | 10204 Birdlip Cir, Austin, TX 78733-3415 |
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