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Contact Information

THE AUSTIN DIAGNOSTIC CLINIC, PLLC
12221 MO PAC EXPWY NORTH
DEPT OF ENT
AUSTIN, TX78758
 Phone: 512-901-4006
 Fax: 512-901-3906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for THE AUSTIN DIAGNOSTIC CLINIC, PLLC

NPI # 1912971961
LBN Legal business name THE AUSTIN DIAGNOSTIC CLINIC, PLLC
Authorized official NICHOLAS WADLINGTON - (GROUP VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2006
Last updated 11/20/2025 - About 7 months ago
Identifiers
TX Medicaid 140347903
TX Medicaid 140347954
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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