Organization
AUSTIN COMPUTER DIAGNOSTICS, LTD.
Active
Other names
River Ranch Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA MARTIN (ADMINISTRATOR)
(512) 454-9598
Entity
Organization
Contact information
Practice address
711 W 38TH ST, STE B-7, AUSTIN, TX 78705-1121
(512) 454-9597
(512) 380-0295
Mailing address
PO BOX 301749, AUSTIN, TX 78703-0030
(512) 454-9597
(512) 380-0295
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R11609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170399302
—
TX
01
—
470000611
RAILROAD MEDICARE
TX
Enumeration date
07/31/2006
Last updated
02/12/2015
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