# CITY OF AUSTIN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HHSD Immunization Program St. Johns Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053576181
- **Authorized official:** MR. KURT SCOTT BECKER (MANAGER, IMMUNIZATIONS)
- **Authorized official phone:** (512) 972-5523

## Contact information

- **Practice address:** 7500 BLESSING AVE, AUSTIN, TX 78752-1716
- **Practice address phone:** (512) 972-5176
- **Practice address fax:** (512) 972-6796
- **Mailing address:** 15 WALLER ST, AUSTIN, TX 78702-5240
- **Mailing address phone:** (512) 972-5529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2008
- **Last updated:** 07/30/2008