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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