Austin Diagnostic Clinic
LBN: The Austin Diagnostic Clinic, Pllc
Austin Diagnostic Clinic is an health care organization with primary practice located at 12221 Mo Pac Expwy North Dept Of Ophthalmology, Austin TX 78758. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
The Austin Diagnostic Clinic, Pllc can be contacted via phone (512) 901-4014, or through Rebok, John via phone (615) 372-5004.
Contact Information
Primary practice address
12221 Mo Pac Expwy North Dept Of Ophthalmology
Austin TX 78758
Phone: (512) 901-4014
Fax: (512) 901-3914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1568436764 |
|---|---|
| LBN Legal business name | The Austin Diagnostic Clinic, Pllc |
| DBA Doing business as | Austin Diagnostic Clinic |
| Authorized official | Rebok, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jul 2nd, 2018 - about 7 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 | 1568436764 | NPPES |
| Texas | MEDICAID | 140347910 | |
| Texas | MEDICAID | 140347956 |
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