NORTH AUSTIN FAMILY MEDICINE, PA
Marriage and Family Therapists at Jollyville Rd, Austin, TX

License number
Texas K7990
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JOHN BANGSTON M.D.
Title: PRESIDENT
Phone: (512) 338-5150
Address
Address
11671 Jollyville Rd SUITE 203, Austin, TX 78759
National Provider ID: 1710196332
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH AUSTIN FAMILY MEDICINE, PA

11671 Jollyville Rd STE 203, Austin, TX 78759

Status:
Inactive
Doing business as:
North Austin Family Medicine, PA
Registration:
Aug 17, 2000
State ID:
0082166103
Business type:
Professional Association
President , Director , Member:
John Bangston (President , Director , Member)
Agent:
John F Bangston Jr,11671 Jollyville Rd STE 203, Austin, TX 78759 (Physical)
TIN:
32035991101

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