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 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4937
(512) 901-3945
Mailing address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4937
(512) 901-3945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
06/19/2013
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