LIFSHEN FAMILY CLINIC PA
Medical Practice at Capital Of Texas Hwy, Austin, TX

License number
Texas H4492
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. REBECCA ANN WISE
Title: OFFICE MANAGER
Phone: (512) 279-4402
Address
Address
912 S Capital Of Texas Hwy STE 100, Austin, TX 78746
National Provider ID: 1245468164
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LIFSHEN FAMILY CLINIC PA at bizstanding.com

LIFSHEN FAMILY CLINIC, PA

7897 Lakewood Dr, Austin, TX 78750

Status:
Inactive
Doing business as:
Lifshen Family Clinic, PA<br>Michael S. Lifshen, M.D
Registration:
Feb 26, 1999
State ID:
0081988603
Business type:
Professional Association
President , Director , Member , Secretary, Treasurer, Vice-President:
Michael Lifshen President , Director , Member , Secretary, Treasurer, Vice-President, inactive
Agent:
Michael S. Lifshen,7897 Lakewood Dr, Austin, TX 78750 (Physical)
TIN:
17429083706

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