Organization · Type 2 NPI

Pediaq LLC

Primary Care Clinic/Center · Austin, TX

NPI number 1255885745 Active

Practice location

10413 Walpole Ln
Austin, TX 78739-1553

Call (310) 713-4847 Map

Mailing address

4849 Greenville Ave Ste 1225
Dallas, TX 75206-4130

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XAP81285 (TX)

Primary Care Clinic/Center: Definition to come...

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About NPI 1255885745

Pediaq LLC's National Provider Identifier is 1255885745, issued on Aug 12, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Austin, TX. The record was last updated on Aug 12, 2016.