OrganizationActive
The Austin Diagnostic Clinic, PLLC
NPI 1104803816 · Cardiovascular Disease Physician · Austin, TX
Provider details
- NPI number
- 1104803816
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Rebok, Vice President(615) 372-5004
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12221 Mo Pac Expwy North
Dept of Cardiology
Austin, TX 78758
Phone: (512) 901-4001
Fax: (512) 901-3901
Street-level locationGet directions
Mailing address
2000 Health Park Dr Dept of
Brentwood, TN 37027-4525
Registry dates
- Enumerated
- 2005-12-23
- Last updated
- 2018-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.