| Austin Diagnostic Clinic | |
|
12221 Mo Pac Expwy North Dept Of Neurology Austin TX 78758 | |
| (512) 901-4011 | |
| (512) 901-3911 |
| Full Name | Austin Diagnostic Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 12221 Mo Pac Expwy North, Austin, Texas |
| Authorized Official Name and Position | John Rebok (VICE PRESIDENT) |
| Authorized Official Contact | 6153725004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Diagnostic Clinic 2000 Health Park Dr Dept Of Brentwood TN 37027-4525 Ph: (615) 372-5004 | Austin Diagnostic Clinic 12221 Mo Pac Expwy North Dept Of Neurology Austin TX 78758 Ph: (512) 901-4011 |
| NPI Number | 1265406466 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265406466 | NPI | - | NPPES |
| 140347947 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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