Austin Area Otolaryngology Information Request

Request your Austin area Otolaryngology information today

Thanks for your interest in an Austin ENT Opportunity. This is an employed Otolaryngology practice opportunity with full hospital support as you join a very collegial group of physicians. All this plus a beautiful Texas Hill Country location!

For more Austin Area Otolaryngology Information, just complete the form below. I�ll be in touch soon to assist you evaluate this Texas ENT practice opportunity.

So, let�s begin your exploration of becoming an Austin area Otolaryngologist! Information will soon be on the way so you can determine if this opportunity encompasses all you�re looking for in a new Texas ENT job.

Doctor, thanks for giving this opportunity a closer look. I look forward to providing you with additional Austin Area Otolaryngology Information!

Mark Pyrc
Physicians-Jobs-In-Texas.com
(888) 508-3757

Austin Area ENT Opportunity
Information Request

Please note that all fields followed by an asterisk must be filled in.

Title*
Title*

	M.D.
	D.O.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code

Home Phone*
Home Phone*

Business Phone

Mobile Phone

Best Time & Method to Reach You*
Best Time & Method to Reach You*

Your Practice Specialty*
Your Practice Specialty*

Board Status*
Board Status*

	Board Certified
	Board Eligible
	Not Board Eligible

Type of Practice You Desire*
Type of Practice You Desire*

	Solo (Hospital Sponsored)
	Single Specialty Group
	Multi-Specialty Group
	Employed Position
	No Preference

Any special considerations that must be taken into account? (Family needs, practice specifics you require)

Citizenship Status*
Citizenship Status*

	US Citizen
	Permanent Resident
	H1B Visa
	J1 Visa

Have you had any restrictions or disciplinary action placed on your license at any time by either the DEA, State or Federal governments?*
Have you had any restrictions or disciplinary action placed on your license at any time by either the DEA, State or Federal governments?*

	Yes
	No

Have you had any Malpractice judgments or settlements in the past 5 years?*
Have you had any Malpractice judgments or settlements in the past 5 years?*

	Yes
	No

Please enter the word that you see below.

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