THE AUSTIN DIAGNOSTIC CLINIC, PLLC – NPI #1104803816
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

THE AUSTIN DIAGNOSTIC CLINIC, PLLC is a provider located in AUSTIN, TX. NPPES has assigned the NPI number 1104803816 to THE AUSTIN DIAGNOSTIC CLINIC, PLLC on December 23, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 8 years ago on Jun 25, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE AUSTIN DIAGNOSTIC CLINIC, PLLC below.

NPI Profile for
THE AUSTIN DIAGNOSTIC CLINIC, PLLC

NPI Number
1104803816
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE AUSTIN DIAGNOSTIC CLINIC, PLLC
Primary location
12221 MO PAC EXPWY NORTH
DEPT OF CARDIOLOGY
AUSTIN, TX 78758
Phone: (512) 901-4001 Fax: (512) 901-3901
Mailing address
2000 HEALTH PARK DR DEPT OF
BRENTWOOD, TN 37027-4525
Phone: (615) 372-5004 Fax: (866) 831-4898
Organization Subpart
No
Authorized Official
JOHN REBOK
VICE PRESIDENT
Phone: (615) 372-5004
Updated
Identifiers

Identifiers for THE AUSTIN DIAGNOSTIC CLINIC, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX140347904
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.