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Contact Information

AGELESS ABANDON
103 TAMARAC CT
LAKEWAY, TX78734-4666
 Phone: 512-459-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for AGELESS ABANDON

NPI # 1992092951
LBN Legal business name AGELESS ABANDON
Authorized official TRACY GANSKE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2011
Last updated 06/28/2011 - About 15 years ago
Identifiers
TX License # G5718
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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