NPI 1508080516 · live from the CMS NPI Registry
Austin Children'S Clinic, PA
Pediatrics, Adolescent Medicine in Austin, TX. National Provider Identifier 1508080516, active.
NPI record
| NPI | 1508080516 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 11673 Jollyville Rd, Suite 104, Austin, TX 78759 |
| Practice phone | 512-338-5130 |
| Enumerated | April 12, 2007 |
| Last updated | July 12, 2007 |
| Authorized official | Rebecca Myers, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.