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THE AUSTIN DIAGNOSTIC CLINIC PLLC NPI 1003881368


NPI Information

NPI: 1003881368
Provider Name: THE AUSTIN DIAGNOSTIC CLINIC, PLLC

Doing Business As: AUSTIN DIAGNOSTIC CLINIC

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
12221 N MO PAC EXPY
DEPT OF RHEUMATOLOGY
AUSTIN, TX
ZIP 78758
Phone: (512) 901-4018
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THE AUSTIN DIAGNOSTIC CLINIC, PLLC is a rheumatology internal medicine in Austin, TX. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. THE AUSTIN DIAGNOSTIC CLINIC, PLLC NPI is 1003881368. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Austin Diagnostic Clinic.

The provider's business location address is:

12221 N MO PAC EXPY
DEPT OF RHEUMATOLOGY
AUSTIN, TX
ZIP 78758
Phone: (512) 901-4018
Fax: (512) 901-3918

The provider's authorized official is John Rebok .
The authorized official title is Vice President and has the following contact phone number (615) 372-5004.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 6/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1140347921MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.