Organization
CITY OF AUSTIN
Active
Parent organization
CITY OF AUSTIN
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF AUSTIN
Authorized official
MR. DAVID B VLIET (CEO)
(512) 972-5205
Entity
Organization
Contact information
Practice address
15 WALLER ST, AUSTIN, TX 78702-5240
(512) 972-4088
(512) 972-4086
Mailing address
15 WALLER ST, AUSTIN, TX 78702-5240
(512) 972-4088
(512) 972-4086
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
02/08/2008
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