City of Austin

NPI #1134242811 in Austin, Texas

Provider Information

NPI Number
1134242811
Entity Type
Organization
Organization Name
City of Austin
Subpart
Yes (part of a larger organization)
Parent Organization
CITY OF AUSTIN
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 9, 2007
Last Updated
Feb 8, 2008

Practice Location

Address
15 WALLER ST
City
Austin
State
Texas
ZIP Code
78702-5240
Phone
(512) 972-4088

Authorized Official

Name
MR. DAVID B VLIET
Title
CEO
Phone
(512) 972-5205

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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