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Contact Information

THE AUSTIN DIAGNOSTIC CLINIC, PLLC
12221 MO PAC EXPWY NORTH
DEPT OF CARDIOLOGY
AUSTIN, TX78758
 Phone: 512-901-4001
 Fax: 512-901-3901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

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

NPI # 1104803816
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2005
Last updated 06/25/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 140347904
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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