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
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