| Creekside Diagnostics Llc | |
|
8900 Shoal Creek Blvd Bldg 300b Austin TX 78757 | |
| (512) 407-8656 | |
| Not Available |
| Full Name | Creekside Diagnostics Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 8900 Shoal Creek Blvd Bldg 300b, Austin, Texas |
| Authorized Official Name and Position | Candice Aguirre (MSO) |
| Authorized Official Contact | 5124076856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Diagnostics Llc 8900 Shoal Creek Blvd Bldg 300b Austin TX 78757 Ph: () - | Creekside Diagnostics Llc 8900 Shoal Creek Blvd Bldg 300b Austin TX 78757 Ph: (512) 407-8656 |
| NPI Number | 1295020360 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 06/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295020360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | D9043 (Texas) | Primary |
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