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
DAVID VLIET (CEO)
(512) 972-4050
Entity
Organization
Contact information
Practice address
7112 ED BLUESTEIN BLVD STE 155, AUSTIN, TX 78723-2904
(512) 972-4559
Mailing address
7112 ED BLUESTEIN BLVD STE 155, AUSTIN, TX 78723-2904
(512) 972-4559
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
552039
TX
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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