# AUSTIN NEUROLOGICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Austin EEG Lab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417161134
- **Authorized official:** DEBBIE THOMAS (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (512) 637-5894

## Contact information

- **Practice address:** 711-F WEST 38TH STREET, AUSTIN, TX 78705-1133
- **Practice address phone:** (512) 458-6121
- **Practice address fax:** (512) 452-9171
- **Mailing address:** 711-F WEST 38TH STREET, AUSTIN, TX 78705
- **Mailing address phone:** (512) 458-6121
- **Mailing address fax:** (512) 452-9171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 10/15/2011
