OrganizationActive
Austin Children'S Clinic, PA
NPI 1508080516 · Pediatric Adolescent Medicine Physician · Austin, TX
Provider details
- NPI number
- 1508080516
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rebecca Myers, Office Manager(512) 338-5130
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11673 Jollyville Rd
Suite 104
Austin, TX 78759-3933
Phone: (512) 338-5130
Fax: (512) 338-5112
Approximate (ZIP-level) locationGet directions
Mailing address
11673 Jollyville Rd
Austin, TX 78759-3933
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2007-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.