Austin Diagnostic Clinic PA

NPI #1528193059 in Austin, Texas

Provider Information

NPI Number
1528193059
Entity Type
Organization
Organization Name
Austin Diagnostic Clinic PA
Primary Specialty
Internal Medicine
Enumeration Date
Feb 23, 2007
Last Updated
Jun 19, 2013

Practice Location

Address
12221 MOPAC EXPRESSWAY NORTH
City
Austin
State
Texas
ZIP Code
78758-2483
Phone
(512) 901-4937

Authorized Official

Name
ELLEN M ANDREW
Title
CREDENTIALING SPECIALIST
Phone
(512) 901-4937

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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