Provider Demographics
NPI:1932642725
Name:BRUSHY CREEK FAMILY PHYSICIANS
Entity Type:Organization
Organization Name:BRUSHY CREEK FAMILY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-218-8696
Mailing Address - Street 1:7200 WYOMING SPRINGS DR
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4303
Mailing Address - Country:US
Mailing Address - Phone:512-218-8696
Mailing Address - Fax:512-218-9532
Practice Address - Street 1:7200 WYOMING SPRINGS DR
Practice Address - Street 2:SUITE 1500
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4303
Practice Address - Country:US
Practice Address - Phone:512-218-8696
Practice Address - Fax:512-218-9532
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132316363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty