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Organization
THE AUSTIN DIAGNOSTIC CLINIC, PLLC
Active
Organization
THE AUSTIN DIAGNOSTIC CLINIC, PLLC
Active
Other names
Austin Diagnostic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS WADLINGTON (GROUP VICE PRESIDENT)
(615) 372-7332
Entity
Organization
Contact information
Practice address
12221 MOPAC EXPRESSWAY NORTH, DEPT OF PODIATRY, AUSTIN, TX 78758
(512) 901-4015
(512) 901-3935
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140347923
—
TX
05
—
140347958
—
TX
Enumeration date
02/21/2006
Last updated
11/20/2025
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