National Provider Identifier Database

THE AUSTIN DIAGNOSTIC CLINIC PLLC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


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
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for THE AUSTIN DIAGNOSTIC CLINIC, PLLC

NPI Number 1104803816
Legal business name
LBN
THE AUSTIN DIAGNOSTIC CLINIC, PLLC
Authorized official JOHN REBOK - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/23/2005
Last updated 06/25/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 140347904

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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