Organization
CHILDREN'S MEDICAL GROUP OF AUSTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRAINE EDRY SALEK POWELL MD (PHYSICIAN)
(512) 535-8243
Entity
Organization
Contact information
Practice address
631 W 38TH ST, AUSTIN, TX 78705-1250
(512) 451-5161
Mailing address
631 W 38TH ST, AUSTIN, TX 78705-1250
(512) 451-5161
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003043134
—
TX
05
—
1366776031
—
TX
05
—
1801460225
—
TX
05
—
1801896246
—
TX
Enumeration date
03/20/2023
Last updated
08/27/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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