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Organization

PEDIATRIC CARE OF AUSTIN, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RODOLFO CANTU BARRERA D.O. (PRESIDENT)
(512) 476-5437
Entity
Organization

Contact information

Practice address
1015 E 32ND ST, SUITE 203, AUSTIN, TX 78705-2707
(512) 733-5437
(512) 476-0960
Mailing address
1015 E 32ND ST, SUITE 203, AUSTIN, TX 78705-2707
(512) 733-5437
(512) 476-0960

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F3737
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
091851801
TX
05
091851802
TX
Enumeration date
06/13/2007
Last updated
01/10/2014
Update your record

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