WATERLOO MED CO
Osteopathic Medicine at Gate Blvd, Austin, TX

License number
Texas K5965
Category
Osteopathic Medicine
Type
Emergency Medicine
Owner
Name: JEFFREY GOODLOE
Title: CEO
Phone: (512) 767-2074
Address
Address
6800 W Gate Blvd STE 132-309, Austin, TX 78745
National Provider ID: 1588964662
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WATERLOO MED CO at bizstanding.com

WATERLOO MED CO

6800 W Gate Blvd #132-309, Austin, TX 78745

Status:
Inactive
Doing business as:
Waterloo Med Co
Registration:
Sep 29, 2010
State ID:
0801324557
Business type:
Domestic For-Profit Corporation
Director:
Marina Khisamieva Director, inactive
Agent:
Khisamieva Marina,6800 W Gate Blvd #132-309, Austin, TX 78765 (Physical)
TIN:
32042725872

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