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NPI 1750100798

NPI 1750100798 : OSTEEN MCKAY MEDICAL PLLC : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1750100798
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    Entity Type          |    Organization 
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    Legal Business Name  |    OSTEEN MCKAY MEDICAL PLLC 
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Dates
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    Enumeration Date     |    10/07/2024
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    Last Update Date     |    10/07/2024
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Provider Practice Location Address
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    Address Line         |    3616 FAR WEST BLVD # 117-154 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-3082
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    Country              |    US
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    Telephone            |    737-387-3428
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    Fax                  |    737-221-5793
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Provider Business Mailing Address
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    Address Line         |    3616 FAR WEST BLVD # 117-154 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-3082
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    Country              |    US
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    Telephone            |    737-387-3428
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    Fax                  |    737-221-5793
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Authorized Official
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    Title or Position    |    ADMIN
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    Name                 |     AURORA  OSTEEN 
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    Credential           |    
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    Telephone            |    737-387-3428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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