Austin Diagnostic Clinic

NPI #1558555706 in Austin, Texas

Provider Information

NPI Number: 1558555706
Entity Type: Organization
Organization Name: Austin Diagnostic Clinic
Primary Specialty: Pediatrics
Enumeration Date: Aug 30, 2007
Last Updated: Aug 30, 2007

Practice Location

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

Authorized Official

Name: MS. KENDRA ANDERSON
Title: CREDENTIALING SPECIALIST
Phone: (512) 901-4937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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