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Contact Information

THE AUSTIN DIAGNOSTIC CLINIC, PLLC
2400 CEDAR BEND DR
DEPT OF PEDIATRICS
AUSTIN, TX78758
 Phone: 512-901-4016
 Fax: 512-901-3948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

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

NPI Number 1467426205
Status Active
Credentials
Entity Individual
Enumeration date 02/16/2006
Last updated 11/20/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 140347920
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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