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THE AUSTIN DIAGNOSTIC CLINIC PLLC NPI 1992770267


NPI Information

NPI: 1992770267
Provider Name: THE AUSTIN DIAGNOSTIC CLINIC, PLLC

Doing Business As: AUSTIN DIAGNOSTIC CLINIC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
12221 MOPAC EXPRESSWAY NORTH
DEPT OF PODIATRY
AUSTIN, TX
ZIP 78758
Phone: (512) 901-4015
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THE AUSTIN DIAGNOSTIC CLINIC, PLLC is a podiatrist in Austin, TX. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. THE AUSTIN DIAGNOSTIC CLINIC, PLLC NPI is 1992770267. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Austin Diagnostic Clinic.

The provider's business location address is:

12221 MOPAC EXPRESSWAY NORTH
DEPT OF PODIATRY
AUSTIN, TX
ZIP 78758
Phone: (512) 901-4015
Fax: (512) 901-3935

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
1213E00000XPodiatristYes

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
1140347958MEDICAIDTEXAS
2140347923MEDICAIDTEXAS

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: 11/14/2023

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.