Organization
SPECIALTY CLINIC OF AUSTIN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIVYANSU PATEL MD (VICE PRESIDENT)
(440) 376-7948
Entity
Organization
Contact information
Practice address
4515 SETON CENTER PKWY, 175, AUSTIN, TX 78759-5290
(512) 302-1954
Mailing address
4515 SETON CENTER PKWY, 175, AUSTIN, TX 78759-5290
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N5934
TX
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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