BEHAVIORAL MEDICINE ASSOCIATION OF AUSTIN, PLLC
Psychiatric at Lockwood Ave, Saint Louis, MO

License number
Missouri N5440
Category
Psychiatric
Type
Psychiatry
Owner
Name: MRS. KIMBERLI MCCALLUM M.D.
Title: MANAGER
Phone: (314) 968-1900
Address
Address 2
231 W Lockwood Ave STE 201, Saint Louis, MO 63119
4613 Bee Cave Rd STE 104, Austin, TX 78746
National Provider ID: 1881032522
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BEHAVIORAL MEDICINE ASSOCIATION OF AUSTIN, PLLC

Austin, TX

Doing business as:
Behavioral Medicine Association of Austin, Pllc
Registration:
May 10, 2013
Addresses:
4613 Bee Caves Rd STE 104, Austin, TX 78746 (Mailing)
4613 Bee Cave Rd, Austin, TX 78746
State ID:
0801782524
Business type:
Domestic Limited Liability Company (LLC)
Manager:
Kim Mccallum (Manager)
Agent:
Michael M Mccallum,4613 Bee Caves Rd STE 104, Austin, TX 78746 (Physical)
TIN:
32050953960

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