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 N Mo Pac Expy Dept Of Internal Medicine, Austin TX 78758. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
The Austin Diagnostic Clinic, Pllc can be contacted via phone (512) 901-4009, or through Rebok, John via phone (615) 372-5004.
Contact Information
Primary practice address
12221 N Mo Pac Expy Dept Of Internal Medicine
Austin TX 78758
Phone: (512) 901-4009
Fax: (512) 901-3909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1073591202 |
|---|---|
| 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 | Jan 6th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073591202 | NPPES |
| Texas | MEDICAID | 140347921 |
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