Organization
SPECIALTY CLINIC MEDICAL GROUP, PLLC
Active
Organization
SPECIALTY CLINIC MEDICAL GROUP, PLLC
Active
Other names
Specialty Clinic of Austin
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE CAPISTRAN (BILLING MANAGER)
(512) 382-1933
Entity
Organization
Contact information
Practice address
5625 EIGER RD, STE 215, AUSTIN, TX 78735-8977
(512) 382-1933
(512) 777-4949
Mailing address
4515 SETON CENTER PKWY, STE 175, AUSTIN, TX 78759-5290
(512) 382-1933
(512) 777-4949
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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