NPIMap

Organization Active NPI

Texas Diagnostic Laboratories Inc

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1679874556
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
TEXAS DIAGNOSTIC LABORATORIES INC
Practice address
3303 Northland Dr
Austin, TX 78731-4945
Phone
(512) 419-9111
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hazem H Badran, ND, MS
Title
Ceo
Phone
(512) 619-4904

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

3303 Northland Dr
Austin, TX 78731-4945

Mailing address

PO Box 28662
Austin, TX 78755-8662
Phone (512) 619-4904

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1679874556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28662",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787558662",
            "telephone_number": "512-619-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 NORTHLAND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314945",
            "telephone_number": "512-419-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DIAGNOSTIC LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "BADRAN",
        "authorized_official_first_name": "HAZEM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-619-4904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, MS"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.