Pediatric and Allergy Clinic of Austin, PA

NPI #1760722797 in Austin, Texas

Provider Information

NPI Number: 1760722797
Entity Type: Organization
Organization Name: Pediatric and Allergy Clinic of Austin, PA
Primary Specialty: Pediatrics
Enumeration Date: Feb 28, 2013
Last Updated: Feb 28, 2013

Practice Location

Address: 2500 W WILLIAM CANNON DR
Address 2: 204
City: Austin
State: Texas
ZIP Code: 78745-5257
Phone: (512) 326-9500

Authorized Official

Name: MRS. JURAIRAT MOLINA, MD
Title: PRESIDENT AND DIRECTOR
Phone: (512) 326-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Pediatrics	208000000X	Primary

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