Healthcare Provider Details

I. General information

NPI: 1992468862
Provider Name (Legal Business Name): DOVETAIL COMMUNICATION GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2021
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 TOWN CREEK DR UNIT 9
AUSTIN TX
78741-1507
US

IV. Provider business mailing address

1411 TOWN CREEK DR UNIT 9
AUSTIN TX
78741-1507
US

V. Phone/Fax

Practice location:
  • Phone: 512-400-4238
  • Fax:
Mailing address:
  • Phone: 512-400-4238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name: LANCE MCNEILL
Title or Position: PARTNER
Credential:
Phone: 512-400-4238