SURGERY SOUTHWEST AUSTIN PLLC
Radiology at 5 St, Austin, TX

License number
Texas P2371
Category
Radiology
Type
Surgery
Owner
Name: LAUREN GAYLE ASH M.D.
Title: GENERAL SURGEON
Phone: (281) 748-1720
Address
Address
410 E 5Th St UNIT 309, Austin, TX 78701
National Provider ID: 1972918951
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SURGERY SOUTHWEST AUSTIN PLLC

410 E 5 St APT 309, Austin, TX 78701

Registration:
Dec 16, 2013
State ID:
0801899707
Business type:
Domestic Limited Liability Company (LLC)
Members:
Lauren Ash (President), 410 E5 St APT 307, Austin, TX 78701,Lauren G. Sowrey Member, inactive
Agent:
Lauren G Sowrey,410 E 5 St #309, Austin, TX 78701 (Physical)
TIN:
32052694992

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