Bastrop County Public Health Department

Specialty details in registry · Bastrop, TX

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At a glance

104 Loop 150 W Ste 102, Bastrop, TX 78602-4065

NPPES record updated Aug 7, 2026. Public records can lag behind changes at a practice.

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Practice location

104 Loop 150 W Ste 102
Bastrop, TX 78602-4065

Professional details: NPI, taxonomy & registry record

NPI1124941273

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QP0905X
Enumeration date: Aug 4, 2026
Record updated: Aug 7, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QP0905X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

104 Loop 150 W Ste 102
Bastrop, TX 78602-4065

Phone: (512) 581-4237
Fax: (512) 581-4205

Mailing address

804 PECAN ST

BASTROP, TX 786023818

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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