| Kiddo Psychiatry Llc | |
|
12591 Research Blvd Austin TX 78759-2248 | |
| (512) 348-4322 | |
| Not Available |
| Full Name | Kiddo Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 12591 Research Blvd, Austin, Texas |
| Authorized Official Name and Position | Azka Bilal (OWNER) |
| Authorized Official Contact | 5123484322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiddo Psychiatry Llc 11900 Jollyville Rd # 201392 Austin TX 78759-2304 Ph: (512) 348-4322 | Kiddo Psychiatry Llc 12591 Research Blvd Austin TX 78759-2248 Ph: (512) 348-4322 |
| NPI Number | 1619722444 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619722444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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