Organization
PEDIATRIC AND ALLERGY CLINIC OF AUSTIN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JURAIRAT MOLINA MD (PRESIDENT AND DIRECTOR)
(512) 326-9500
Entity
Organization
Contact information
Practice address
2500 W WILLIAM CANNON DR, 204, AUSTIN, TX 78745-5257
(512) 326-9500
(512) 326-9502
Mailing address
2500 W WILLIAM CANNON DR, 204, AUSTIN, TX 78745-5257
(512) 326-9500
(512) 326-9502
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
L2478
TX
208000000X
Pediatrics Physician
Primary
L2478
TX
363LP0200X
Pediatric Nurse Practitioner
659074
TX
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
Update your record
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