Organization
AUSTIN DIAGNOSTIC CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN M ANDREW (CREDENTIALING SPECIALIST)
(512) 901-4937
Entity
Organization
Contact information
Practice address
12221 N MO PAC EXPY, DEPT OF HEMATOLOGY/ONCOLOGY, AUSTIN, TX 78758-2483
(512) 901-4008
(512) 901-3908
Mailing address
12221 N MO PAC EXPY, DEPT OF HEMATOLOGY/ONCOLOGY, AUSTIN, TX 78758-2483
(512) 901-4008
(512) 901-3908
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140347921
—
TX
Enumeration date
01/06/2006
Last updated
11/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us