Children's Medical Group of Austin

NPI #1962104521 in Austin, Texas

Provider Information

NPI Number: 1962104521
Entity Type: Organization
Organization Name: Children's Medical Group of Austin
Primary Specialty: Pediatrics
Enumeration Date: Mar 20, 2023
Last Updated: Aug 27, 2024

Practice Location

Address: 631 W 38TH ST
City: Austin
State: Texas
ZIP Code: 78705-1250
Phone: (512) 451-5161

Authorized Official

Name: DR. LORRAINE EDRY SALEK POWELL, MD
Title: PHYSICIAN
Phone: (512) 535-8243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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