# KIDDO PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619722444
- **Authorized official:** AZKA BILAL (OWNER)
- **Authorized official phone:** (512) 348-4322

## Contact information

- **Practice address:** 12591 RESEARCH BLVD, AUSTIN, TX 78759-2248
- **Practice address phone:** (512) 348-4322
- **Mailing address:** 11900 JOLLYVILLE RD \# 201392, AUSTIN, TX 78759-2304
- **Mailing address phone:** (512) 348-4322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2024
- **Last updated:** 10/22/2024