OrganizationActive
African American Mens Health Clinic
NPI 1821864893 · Multi-Specialty Clinic/Center · Austin, TX
Provider details
- NPI number
- 1821864893
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Larry Wallace, Co-Founder & Board President
Practice location
6633 E Highway 290 Ste 100
Austin, TX 78723-1157
Phone: (682) 800-3163
Mailing address
6633 E Highway 290 Ste 100
Austin, TX 78723-1157
Registry dates
- Enumerated
- 2023-11-30
- Last updated
- 2023-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.