Individual
LADONNA L IMMKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6811 AUSTIN CENTER BLVD, SUITE #400, AUSTIN, TX 78731-3146
(512) 628-1840
(512) 628-1840
Mailing address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1840
(512) 628-1840
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
G4018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136490301
—
TX
05
—
136490305
—
TX
Enumeration date
05/16/2006
Last updated
01/10/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us