Organization
THE AUSTIN DIAGNOSTIC CLINIC, PLLC
Active
Other names
Austin Diagnostic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS WADLINGTON (GROUP VICE PRESIDENT)
(615) 372-7332
Entity
Organization
Contact information
Practice address
12221 MO PAC EXPWY NORTH, DEPT OF OPHTHALMOLOGY, AUSTIN, TX 78758
(512) 901-4014
(512) 901-3914
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140347910
—
TX
05
—
140347956
—
TX
Enumeration date
02/14/2006
Last updated
11/20/2025
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