CITY OF AUSTIN

NPI # 

Practice Address:

15 Waller St , Suite 410

Austin, TX, 78702-5240

Practice Phone:

512-972-5805

Practice Fax:

512-972-6225

License Number:

L6691

License State:

TX

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Public Health, State or Local

Taxonomy Code:

261QP0905X