Healthcare Provider Details

I. General information

NPI: 1013262369
Provider Name (Legal Business Name): PERIOPERATIVE PRECISION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2012
Last Update Date: 07/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6206 LONDON DR
AUSTIN TX
78745-3459
US

IV. Provider business mailing address

6206 LONDON DR
AUSTIN TX
78745-3459
US

V. Phone/Fax

Practice location:
  • Phone: 512-751-3405
  • Fax:
Mailing address:
  • Phone: 512-751-3405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number State

VIII. Authorized Official

Name: CRAIG ANDREW VIRR
Title or Position: OWNER
Credential: RNFA
Phone: 512-751-3405