| Texas Diagnostic Laboratories Inc | |
|
3303 Northland Dr Austin TX 78731-4945 | |
| (512) 419-9111 | |
| Not Available |
| Full Name | Texas Diagnostic Laboratories Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3303 Northland Dr, Austin, Texas |
| Authorized Official Name and Position | Hazem H Badran (CEO) |
| Authorized Official Contact | 5126194904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Diagnostic Laboratories Inc Po Box 28662 Austin TX 78755-8662 Ph: (512) 619-4904 | Texas Diagnostic Laboratories Inc 3303 Northland Dr Austin TX 78731-4945 Ph: (512) 419-9111 |
| NPI Number | 1679874556 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 01/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679874556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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