Organization
DELL CHILDREN'S MEDICAL GROUP
Active
Other names
'Specially for Children Children's Hospital Subspecialists of Central
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON CARSNER (VP/COO)
(512) 324-5846
Entity
Organization
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1800
(512) 628-1801
Mailing address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1800
(512) 628-1801
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
208M00000X
Hospitalist Physician
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080052604
CSHCN
TX
Enumeration date
07/10/2006
Last updated
06/27/2023
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