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Contact Information

THE AUSTIN DIAGNOSTIC CLINIC, PLLC
12221 N MO PAC EXPWY
DEPT OF ALLERGY
AUSTIN, TX78758
 Phone: 512-901-4002
 Fax: 512-901-3902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for THE AUSTIN DIAGNOSTIC CLINIC PLLC · (Female)

NPI # 1407839129
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2005
Last updated 11/20/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 140347902
  • TX Medicaid 140347952
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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