Austin Mind And Behavioral Health, Llc

LBN: Austin Mind And Behavioral Health, Llc
Austin Mind And Behavioral Health, Llc is an health care organization with primary practice located at 11673 Jollyville Rd Ste 201 , Austin TX 78759-4211. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Austin Mind And Behavioral Health, Llc can be contacted via phone (512) 903-6173, or through Khan, Mohammad Amjadullah via phone (512) 903-6173.

Contact Information

Primary practice address
11673 Jollyville Rd Ste 201 Austin TX 78759-4211
Phone: (512) 903-6173
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khan, Mohammad Amjadullah Doctor of Medicine (MD)
Phone: (512) 903-6173

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1063975134
LBN Legal business name Austin Mind And Behavioral Health, Llc
DBA Doing business as
Authorized official Khan, Mohammad Amjadullah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2019
Last updated Apr 7th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063975134 NPPES
Other 12032352 CAQH

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