VIDA CLINIC
Agencies at Lamar Blvd, Austin, TX

License number
Texas 34166
Category
Social Work
Type
Clinical
License number
Texas 34166
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: DR. ELIZABETH PORTMAN MINNE PH.D.
Title: OWNER
Phone: (512) 461-7358
Address
Address
3005 S Lamar Blvd, Austin, TX 78704
National Provider ID: 1912389081
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about VIDA CLINIC at bizstanding.com

VIDA CLINIC PLLC

Austin, TX

Industry:
Health/Allied Services
Doing business as:
Vida Clinic Pllc
Registration:
May 26, 2011
Addresses:
3005 S Lamar Blvd Sted109 133, Austin, TX 78704 (Mailing)
4009 Banister Ln, Austin, TX 78704
3005 S Lamar Blvd, Austin, TX 78704
State ID:
0801431643
Business type:
Domestic Limited Liability Company (LLC)
DIRECTOR, Principal, Director, Executive Dir:
Elizabeth P Minne (DIRECTOR, Principal, Director, Executive Dir), 3005 S Lamar Blvd STE D109#133, Austin, TX 78704
TIN:
32044345380

VIDA CLINIC PLLC

Austin, TX

Doing business as:
Vida Clinic Pllc
Registration:
May 26, 2011
Addresses:
3005 S Lamar Blvd Sted109 133, Austin, TX 78704 (Mailing)
3005 S Lamar Blvd, Austin, TX 78704
State ID:
0801431643
Business type:
Domestic Limited Liability Company (LLC)
DIRECTOR, Director, Executive Dir:
Elizabeth P Minne (DIRECTOR, Director, Executive Dir), 3005 S Lamar Blvd STE D109#133, Austin, TX 78704
TIN:
32044345380

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