Organization
AUSTIN DIAGNOSTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENDRA ANDERSON (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
208000000X
Pediatrics Physician
Primary
—
TX
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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