AUSTIN DERM ASSOCIATES
Ambulatory Health at Medical Pkwy, Austin, TX

License number
Texas M2276
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. DANIEL A CARRASCO MD
Title: OWNER
Phone: (512) 454-3781
Address
Address
3705 Medical Pkwy STE 340, Austin, TX 78705
National Provider ID: 1700053683
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AUSTIN DERMATOLOGY ASSOCIATES PA

Dallas, TX  -  Austin, TX

Doing business as:
Austin Derm Associates PA<br>Austin Dermatology Associates PA
Registration:
Apr 30, 2008
Addresses:
8144 Walnut Hl Ln STE 450, Dallas, TX 75231 (Mailing)
3705 Medical Pkwy, Austin, TX 78705
State ID:
0800972072
Business type:
Professional Association
Secretarys:
Daniel A. Carrasco (Director, Member, President),Alejandra V. Carrasco (Secretary)
Agent:
Daniel Carrasco,3705 Medical Pkwy STE 340, Austin, TX 78705 (Physical)
TIN:
32036930157

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