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
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up