Austin Diagnostic Clinic, PA
Organization Active NPI Ambulatory Surgical Clinic/Center · Austin, TX
NPI 1619923950 · NPPES record last updated Oct 21, 2009
Key facts
- NPI
- 1619923950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 008167 (TX)
- Legal business name
- AUSTIN DIAGNOSTIC CLINIC, PA
- Practice address
- 7600 N Capital of Texas Hwy
Ambulatory Surgery Center
Austin, TX 78731-1181 - Phone
- (512) 901-4029
- Fax
- (512) 901-3920
- NPI assigned
- May 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Ellen M Andrew
- Title
- Credentialing Specialist
- Phone
- (512) 901-4937
Member of 1
Practitioners 274
-
Ann Abraham, MD
-
Juine Abraham, RN., NP-C
-
Hina N Ali, FNP-C
-
Jennifer A Arnecilla, M.D.
-
Mercedes Banigan, PA
-
Bankim D Bhatt, M. D.
-
Jeffrey Michael Boos, M.D.
-
Scott A Boruchow, M.D.
-
Thomas C. Brown, M.D.
-
Stephanie Brubaker, P.T.
-
William Augustus Bryan, ACNS-BC
-
Claire E. Bustamante, PNP
National Provider Directory
Locations
7600 N Capital of Texas Hwy
Ste A
Austin, TX 78731
Phone (512) 244-0766
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 008167 | TX | Yes |
Addresses
Primary practice location
7600 N Capital of Texas Hwy
Ambulatory Surgery Center
Austin, TX 78731-1181
Mailing address
12221 Mo Pac Expwy N
Ambulatory Surgery Center
Austin, TX 78758-2483
Phone (512) 901-4029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140347948 | Medicaid | TX |
Other providers in Austin, TX
- Austin Diagnostic Clinic, PA
- Austin Diagnostic Clinic, PA
- Austin Diagnostic Clinic, PA
- Austin Diagnostic Clinic, PA
- Austin Diagnostic Clinic, PA
- Austin Diagnostic Clinic, PA
- Austin Diagnostic Clinic, PLLC
- Austin Dialysis Centers LP
- Austin Dialysis Centers LP
- Austin Dialysis Centers LP
All providers in Austin, TX · Ambulatory Surgical Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.