Organization
CITY OF AUSTIN
Active
Other names
HHSD Immunization Program St. Johns Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT SCOTT BECKER (MANAGER, IMMUNIZATIONS)
(512) 972-5523
Entity
Organization
Contact information
Practice address
7500 BLESSING AVE, AUSTIN, TX 78752-1716
(512) 972-5176
(512) 972-6796
Mailing address
15 WALLER ST, AUSTIN, TX 78702-5240
(512) 972-5529
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
07/29/2008
Last updated
07/30/2008
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