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Pediaq Llc
Primary Care Clinic/Center in Austin, Texas
NPI 1255885745

Pediaq Llc is a Primary Care Clinic/Center based in Dallas, TX and is specialized in Primary Care. Pediaq Llc practices in Austin, TX. The NPI Number for Pediaq Llc is 1255885745 and holds a License No. AP81285 (Texas).

The current practice location address for Pediaq Llc is 10413 Walpole Ln, Austin, TX and can be reached out via phone at 310-713-4847.

Location: 10413 Walpole Ln, Austin, TX, 75206-4130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255885745
Provider Name
Pediaq Llc
Credential
Provider Entity Type
Organization
Address
10413 Walpole Ln, Austin, TX, 75206-4130
Phone Number
310-713-4847
Fax Number
Provider Enumeration Date
08/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10413 Walpole Ln
City
Austin
State
Texas
Zip
78739-1553
Phone Number
310-713-4847
Fax Number
person
Provider Business Mailing Address Details
Address
10413 Walpole Ln
City
Austin
State
Texas
Zip
78739-1553
Phone Number
310-713-4847
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
AP81285 (Texas)
Definition
Definition to come...
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