| Austin Psychiatric Clinic, Pa | |
|
1600 W 38th St Suite 421 Austin TX 78731-6400 | |
| (512) 407-9440 | |
| (512) 407-9448 |
| Full Name | Austin Psychiatric Clinic, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1600 W 38th St, Austin, Texas |
| Authorized Official Name and Position | Blayne Harris (PRESIDENT) |
| Authorized Official Contact | 5124079440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Psychiatric Clinic, Pa 1600 W 38th St Suite 421 Austin TX 78731-6400 Ph: (512) 407-9440 | Austin Psychiatric Clinic, Pa 1600 W 38th St Suite 421 Austin TX 78731-6400 Ph: (512) 407-9440 |
| NPI Number | 1124563754 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124563754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | Q0763 (Texas) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | Q0763 (Texas) | Primary |
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