AUSTIN PAIN THERAPY ASSOCIATES
Ambulatory Health at Medical Pkwy, Austin, TX

License number
Texas 622740000
Category
Ambulatory Health
Type
Pain
Owner
Name: MR. LAWRENCE MAZE FT,LSO,CEAS
Title: PROGRAM DIRECTOR
Phone: (512) 467-0808
Address
Address
4000 Medical Pkwy SUITE 100, Austin, TX 78756
National Provider ID: 1275546624
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Austin Pain Therapy Assoc Inc

4000 Medical Pkwy #100, Austin, TX 78756

Doing business as:
AUSTIN PAIN THERAPY ASSOCIATES, INC<br>Austin Pain Therapy<br>Austin Pain Therapy Associates
Registration:
Jan 19, 1989
Phone:
(512) 467-0808 (Phone)
State ID:
0110167100
Business type:
Domestic For-Profit Corporation
Treasurer, Directors:
Arlene F Maze (TREASURER, Treasurer, Secretary, Director), 3804 Hidden Holw, Austin, TX 78731,Lawrence H Maze (DIRECTOR, President, Program Director, Director), 3804 Hidden Holw, Austin, TX 78731,Laurene H. Maze Treasurer, Director, inactive
Agent:
Laura C Oden,4000 Medical Pkwy #100, Austin, TX 78756 (Physical)
TIN:
17425247560

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