Organization
THE AUSTIN DIAGNOSTIC CLINIC, PLLC
Active
Other names
Austin Diagnostic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN REBOK (VICE PRESIDENT)
(615) 372-5004
Entity
Organization
Contact information
Practice address
12221 N MO PAC EXPY, DEPT OF RHEUMATOLOGY, AUSTIN, TX 78758
(512) 901-4018
(512) 901-3918
Mailing address
2000 HEALTH PARK DR DEPT OF, BRENTWOOD, TN 37027-4525
(615) 372-5004
(866) 831-4898
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140347921
—
TX
Enumeration date
02/21/2006
Last updated
06/25/2018
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