AUSTIN PSYCHIATRIC ALLIANCE, PLLC
Ambulatory Health at Executive Center Dr, Austin, TX

License number
Texas L3636
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: MARK ALLEN ESCHE M.D.
Title: OWNER
Phone: (512) 637-9090
Address
Address
3636 Executive Center Dr SUITE 158, Austin, TX 78731
National Provider ID: 1053591339
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AUSTIN PSYCHIATRIC ALLIANCE, PLLC

Austin, TX

Doing business as:
Austin Psychiatric Alliance, Pllc
Registration:
Jun 16, 2004
Addresses:
4709 Eagle Feather Dr, Austin, TX 78735 (Mailing)
3636 Executive Ctr Dr, Austin, TX 78731
State ID:
0800360069
Business type:
Domestic Limited Liability Company (LLC)
DIRECTOR, Member, Directors:
David C Urrate (DIRECTOR, Member, Director), 210 Lee Barton Dr UNIT 621, Austin, TX 78704,Mark A Esche (DIRECTOR, Member, Director), 4709 Eagle Feather Dr, Austin, TX 78735
Agent:
Mark A. Esche,4709 Eagle Feather Dr, Austin, TX 78735 (Physical)
TIN:
18106513304

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