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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