Healthcare Provider Details
I. General information
NPI: 1972248565
Provider Name (Legal Business Name): CURATIVE MEDICAL AUSTIN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2022
Last Update Date: 04/28/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 CONGRESS AVE STE 200
AUSTIN TX
78701-2432
US
IV. Provider business mailing address
605 E HUNTINGTON DR STE 205
MONROVIA CA
91016-6353
US
V. Phone/Fax
- Phone: 888-702-9042
- Fax:
- Phone:
- 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:
JEFFREY
KLAUSNER
Title or Position: CEO
Credential:
Phone: 888-702-9042