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Organization
AUSTIN COMPUTER DIAGNOSTICS, LTD.
Active
Organization
AUSTIN COMPUTER DIAGNOSTICS, LTD.
Active
Other names
River Ranch Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA MARTIN (ADMINISTRATOR)
(512) 454-9598
Entity
Organization
Contact information
Practice address
711 W 38TH ST, STE B-7, AUSTIN, TX 78705-1121
(512) 454-9597
(512) 380-0295
Mailing address
PO BOX 301749, AUSTIN, TX 78703-0030
(512) 454-9597
(512) 380-0295
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R11609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170399302
—
TX
01
—
470000611
RAILROAD MEDICARE
TX
Enumeration date
07/31/2006
Last updated
02/12/2015
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