Organization
AUSTIN DIAGNOSTIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK CARBONELL (DIVISION VICE PRESIDENT)
(512) 482-4108
Entity
Organization
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-1111
Mailing address
PO BOX 744402, ATLANTA, GA 30374-4402
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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