The Austin Diagnostic Clinic, Pllc

LBN: The Austin Diagnostic Clinic, Pllc
The Austin Diagnostic Clinic, Pllc is an health care organization with primary practice located at 12221 Mo Pac Expwy North Dept Of Dermatology, Austin TX 78758. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. The Austin Diagnostic Clinic, Pllc can be contacted via phone (512) 901-4004, or through Rebok, John via phone (615) 372-5004.

Contact Information

Primary practice address
12221 Mo Pac Expwy North Dept Of Dermatology Austin TX 78758
Phone: (512) 901-4004
Fax: (512) 901-3904
Website:
Map and Directions
Authorized official contact:
Name: Rebok, John
Phone: (615) 372-5004

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1013994722
LBN Legal business name The Austin Diagnostic Clinic, Pllc
DBA Doing business as
Authorized official Rebok, John
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2005
Last updated Jun 21st, 2018 - about 6 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 1013994722 NPPES
Texas MEDICAID 140347951
Texas MEDICAID 140347905

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