CAPITOL CITY FAMILY PRACTICE NPI 1801094891

NPI Information

CAPITOL CITY FAMILY PRACTICE is a medical specialty clinic center in Austin, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CAPITOL CITY FAMILY PRACTICE NPI is 1801094891. The provider is registered as an organization entity type.

The provider's business location address is:

2100 E 6TH ST
SUITE B
AUSTIN, TX
ZIP 78702-406
Phone: (512) 474-7824
Fax: (512) 474-1068

The provider's authorized official is Belda Zamora .
The authorized official title is President and has the following contact phone number (512) 474-7824.

The CLIA number assigned to this NPI record is 45D0963028 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/11/2007 and was last updated on 10/22/2013.

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:

Other Identifiers

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

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