Organization
SPECIALTY CLINIC MEDICAL GROUP, PLLC
Active
Organization
SPECIALTY CLINIC MEDICAL GROUP, PLLC
Active
Other names
Specialty Clinic of Austin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVYANSU PATEL M.D. (MANAGER)
(512) 382-1933
Entity
Organization
Contact information
Practice address
2217 PARK BEND DR STE 300, AUSTIN, TX 78758-5674
(512) 382-1933
(512) 777-4949
Mailing address
2217 PARK BEND DR STE 300, AUSTIN, TX 78758-5674
(512) 382-1933
(512) 777-4949
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
TX
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/11/2013
Last updated
03/25/2022
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