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 Ent, Austin TX 78758. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. The Austin Diagnostic Clinic, Pllc can be contacted via phone (512) 901-4006, or through Rebok, John via phone (615) 372-5004.

Contact Information

Primary practice address
12221 Mo Pac Expwy North Dept Of Ent Austin TX 78758
Phone: (512) 901-4006
Fax: (512) 901-3906
Website:
Map and Directions
Authorized official contact:
Name: Rebok, John
Phone: (615) 372-5004

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1912971961
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 15th, 2006
Last updated Jun 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912971961 NPPES
Texas MEDICAID 140347903
Texas MEDICAID 140347954

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