OrganizationActive
Pediaq LLC
NPI 1255885745 · Primary Care Clinic/Center · Austin, TX
Pediaq LLC is a Primary Care Clinic/Center organization in Austin, TX (NPI 1255885745).
Provider details
- NPI number
- 1255885745
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Fred Johnson, Medical Director(214) 984-3900
- License
- AP81285 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
10413 Walpole Ln
Austin, TX 78739-1553
Phone: (310) 713-4847
Street-level locationGet directions
Mailing address
4849 Greenville Ave Ste 1225
Dallas, TX 75206-4130
Registry dates
- Enumerated
- 2016-08-12
- Last updated
- 2016-08-12
Frequently asked questions
- What is Pediaq LLC's NPI number?
- Pediaq LLC's National Provider Identifier (NPI) is 1255885745, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediaq LLC?
- Pediaq LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediaq LLC located?
- Pediaq LLC's practice location on file with NPPES is 10413 Walpole Ln, Austin, TX 78739-1553.
- What is Pediaq LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediaq LLC is (310) 713-4847.
- Who is the authorized official for Pediaq LLC?
- The authorized official listed on Pediaq LLC's NPPES record is Fred Johnson, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediaq LLC's NPI active?
- Yes — Pediaq LLC's NPI (1255885745) is active in the NPPES registry as of the last update on 2016-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.