AUSTIN DIAGNOSTIC CLINIC PA NPI 1487632618

NPI Information

  • NPI: 1487632618
  • Provider Name: AUSTIN DIAGNOSTIC CLINIC, PA
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 12221 N MO PAC EXPY
    DEPT OF HEMATOLOGY/ONCOLOGY
    AUSTIN, TX
    ZIP 78758
  • Phone: (512) 901-4008

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NPI Details

AUSTIN DIAGNOSTIC CLINIC, PA is a hematology and oncology internal medicine in Austin, TX. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. AUSTIN DIAGNOSTIC CLINIC, PA NPI is 1487632618. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12221 N MO PAC EXPY
DEPT OF HEMATOLOGY/ONCOLOGY
AUSTIN, TX
ZIP 78758-483
Phone: (512) 901-4008
Fax: (512) 901-3908

The provider's authorized official is Ellen M Andrew .
The authorized official title is Credentialing Specialist and has the following contact phone number (512) 901-4937.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 11/15/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2207RH0003XInternal MedicineHematology & OncologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1140347921MEDICAIDTEXAS
200DG65MEDICARE PINTEXAS
30807840001MEDICARE PINTEXAS

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: 11/21/2025

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