Healthcare Provider Details
I. General information
NPI: 1356858377
Provider Name (Legal Business Name): WHERE R U NOW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/29/2017
Last Update Date: 12/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7110 CAMERON RD STE E
AUSTIN TX
78752-2868
US
IV. Provider business mailing address
14614 MANSFIELD DAM CT UNIT 19
AUSTIN TX
78734-2020
US
V. Phone/Fax
- Phone: 512-326-9200
- Fax: 512-836-7399
- Phone: 512-944-4585
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LOANN
TRINH
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 512-944-4585