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CONCORD CLINIC NPI 1023287158


NPI Information

NPI: 1023287158
Provider Name: CONCORD CLINIC

Doing Business As: CHILDREN'S CLINIC OF LEANDER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 45D2193428

Address:
8000 ANDERSON SQ STE 113
AUSTIN, TX
ZIP 78757
Phone: (512) 963-3372
Get Directions

CONCORD CLINIC is a clinic center in Austin, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CONCORD CLINIC NPI is 1023287158. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's Clinic Of Leander.

The provider's business location address is:

8000 ANDERSON SQ STE 113
AUSTIN, TX
ZIP 78757-482
Phone: (512) 963-3372
Fax: (512) 233-0721

The provider's authorized official is Roya Azadi .
The authorized official title is Physician and has the following contact phone number (512) 963-3346.

The CLIA number assigned to this NPI record is 45D2193428 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 11/22/2019.


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
1261Q00000XClinic/CenterYes

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

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