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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 MOPAC EXPRESSWAY NORTH, DEPT OF PODIATRY, AUSTIN, TX 78758
(512) 901-4015
(512) 901-3935
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140347923
TX
05
140347958
TX
Enumeration date
02/21/2006
Last updated
11/20/2025
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