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PEDIATRIC CARE OF AUSTIN PA NPI 1497959373


NPI Information

NPI: 1497959373
Provider Name: PEDIATRIC CARE OF AUSTIN, PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D0506069

Address:
1015 E 32ND ST
SUITE 203
AUSTIN, TX
ZIP 78705
Phone: (512) 733-5437
Get Directions

PEDIATRIC CARE OF AUSTIN, PA is a pediatrics in Austin, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC CARE OF AUSTIN, PA NPI is 1497959373. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1015 E 32ND ST
SUITE 203
AUSTIN, TX
ZIP 78705-707
Phone: (512) 733-5437
Fax: (512) 476-0960

The provider's authorized official is Rodolfo Cantu Barrera .
The authorized official title is President and has the following contact phone number (512) 476-5437.

The CLIA number assigned to this NPI record is 45D0506069 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 1/10/2014.


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
1208000000XPediatricsF3737TEXASYes

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
10092AHMEDICARE ID-TYPE UNSPECIFIEDTEXAS
2091851802MEDICAIDTEXAS
3091851801MEDICAIDTEXAS

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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