OrganizationActive
Independent Identity
NPI 1801778931 · Developmental Disabilities Clinic/Center · Austin, TX
Provider details
- NPI number
- 1801778931
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jenna Taylor, Executive Director(512) 810-9149
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7801 N Lamar Blvd Ste B168
Austin, TX 78752-1031
Phone: (512) 810-9149
Approximate (ZIP-level) locationGet directions
Mailing address
7801 N Lamar Blvd Ste B168
Austin, TX 78752-1031
Registry dates
- Enumerated
- 2025-07-21
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.