Organization
AUSTIN PSYCHIATRIC CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAYNE HARRIS M.D. (PRESIDENT)
(512) 407-9440
Entity
Organization
Contact information
Practice address
1600 W 38TH ST, SUITE 421, AUSTIN, TX 78731-6400
(512) 407-9440
(512) 407-9448
Mailing address
1600 W 38TH ST, SUITE 421, AUSTIN, TX 78731-6400
(512) 407-9440
(512) 407-9448
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Q0763
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
Q0763
TX
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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