Austin Psychiatric Clinic, PA
Psychiatry & Neurology, Child & Adolescent Psychiatry in Austin, TX. Organization (NPI-2).
NPI number1124563754
StatusActive
Last updated in NPPESJan 6, 2017
Details
- NPI
- 1124563754
- Entity type
- Organization (NPI-2)
- Legal business name
- Austin Psychiatric Clinic, PA
- Organization subpart
- No
- Enumeration date
- Jan 6, 2017
- Last updated
- Jan 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | Q0763 | TX | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | Q0763 | TX |
Practice location
1600 W 38th StSuite 421
Austin, TX 78731-6400
Phone 512-407-9440 · Fax 512-407-9448
Mailing address
1600 W 38th StSuite 421
Austin, TX 78731-6400
Phone 512-407-9440 · Fax 512-407-9448
Authorized official
Blayne Harris
President
5124079440
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