| Austin Diagnostic Clinic, Pllc | |
|
12221 N Mopac Expy Austin TX 78758-2401 | |
| (512) 901-1111 | |
| Not Available |
| Full Name | Austin Diagnostic Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12221 N Mopac Expy, Austin, Texas |
| Authorized Official Name and Position | Roderick Carbonell (DIVISION VICE PRESIDENT) |
| Authorized Official Contact | 5124824108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Diagnostic Clinic, Pllc Po Box 744402 Atlanta GA 30374-4402 Ph: (615) 373-7600 | Austin Diagnostic Clinic, Pllc 12221 N Mopac Expy Austin TX 78758-2401 Ph: (512) 901-1111 |
| NPI Number | 1538667977 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 01/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538667977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
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