NPI 1669778171

Medermis Laser Clinic

Organisation Point of Service Austin, TX

Practice location

Address: 2111 Dickson Dr Suite 20, Austin, TX 78704-4796
Phone: (512) 637-5277

Authorised official

Name: Mike Livermore
Title: Ceo
Phone: (512) 965-8189

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Texas →

Registry record

NPI: 1669778171
Entity type: Organization
NPI issued: 31 Jan 2011
Record last updated: 31 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.