SPECIALTY CLINIC OF AUSTIN PA
Psychiatric at Seton Center Pkwy, Austin, TX

License number
Texas N5934
Category
Psychiatric
Type
Psychiatry
Owner
Name: DIVYANSU PATEL MD
Title: VICE PRESIDENT
Phone: (440) 376-7948
Address
Address
4515 Seton Center Pkwy, Austin, TX 78759
National Provider ID: 1093053373
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SPECIALTY CLINIC OF AUSTIN, PA

Austin, TX

Doing business as:
Speciality Clinic of Austin, PA<br>Specialty Clinic of Austin, PA
Registration:
Sep 14, 2012
Addresses:
4515 Seton Ctr Pkwy STE 175, Austin, TX 78759 (Mailing)
3724 Jefferson St, Austin, TX 78731
State ID:
0801655569
Business type:
Professional Association
Director, Member, Secretarys:
Charles Sweet (Director, President),Divyansu Patel (Director, Member, Vice-President),Carlos B. Vargas (Director, Member, Secretary)
Agent:
Charles T. Sweet,4515 Seton Ctr Pkwy #175, Austin, TX 78759 (Physical)
TIN:
32049016366

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