| NPI | 1467426205 |
|---|---|
| Doing Business As | AUSTIN DIAGNOSTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN REBOK Vice President 615-372-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2018-06-25 |