| Austin Mind And Behavioral Health, Llc | |
|
11673 Jollyville Rd Ste 201 Austin TX 78759-4211 | |
| (512) 903-6173 | |
| Not Available |
| Full Name | Austin Mind And Behavioral Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11673 Jollyville Rd Ste 201, Austin, Texas |
| Authorized Official Name and Position | Mohammad Amjadullah Khan (MANAGER) |
| Authorized Official Contact | 5129036173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Mind And Behavioral Health, Llc 11673 Jollyville Rd Ste 201 Austin TX 78759-4211 Ph: (512) 903-6173 | Austin Mind And Behavioral Health, Llc 11673 Jollyville Rd Ste 201 Austin TX 78759-4211 Ph: (512) 903-6173 |
| NPI Number | 1063975134 |
|---|---|
| Provider Enumeration Date | 04/07/2019 |
| Last Update Date | 04/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063975134 | NPI | - | NPPES |
| 12032352 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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