DELL CHILDREN'S MEDICAL GROUP

Provider Demographics

• NPI: 1790103869
• Name: DELL CHILDREN'S MEDICAL GROUP
• Entity type: Organization
• Organization Name: DELL CHILDREN'S MEDICAL GROUP
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: VP/COO
• Authorized Official - First Name: CLAYTON
• Authorized Official - Last Name: CARSNER
• Authorized Official - Phone: 512-324-5846
• Mailing Address - Street 1: 1301 BARBARA JORDAN BLVD
• Mailing Address - Street 2: SUITE 200
• Mailing Address - City: AUSTIN
• Mailing Address - State: TX
• Mailing Address - Zip Code: 78723-3077
• Mailing Address - Country: US
• Mailing Address - Phone: 512-628-1800
• Mailing Address - Fax: 512-628-1801
• Practice Address - Street 1: 1000 HESTERS CROSSING RD
• Practice Address - City: ROUND ROCK
• Practice Address - State: TX
• Practice Address - Zip Code: 78681-8020
• Practice Address - Country: US
• Practice Address - Phone: 512-628-1800
• Practice Address - Fax: 512-628-1801
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2014-04-04
• Last Update Date: 2023-06-27

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	208000000X	Allopathic & Osteopathic Physicians	Pediatrics		Group - Multi-Specialty
No	207NP0225X	Allopathic & Osteopathic Physicians	Dermatology	Pediatric Dermatology	Group - Multi-Specialty
No	2080H0002X	Allopathic & Osteopathic Physicians	Pediatrics	Hospice and Palliative Medicine	Group - Multi-Specialty
No	2080P0006X	Allopathic & Osteopathic Physicians	Pediatrics	Developmental - Behavioral Pediatrics	Group - Multi-Specialty
No	2080P0201X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Allergy/Immunology	Group - Multi-Specialty
No	2080P0205X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Endocrinology	Group - Multi-Specialty
No	2080P0206X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Gastroenterology	Group - Multi-Specialty
No	2080P0207X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Hematology-Oncology	Group - Multi-Specialty
No	2080P0208X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Infectious Diseases	Group - Multi-Specialty
No	2080P0210X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Nephrology	Group - Multi-Specialty
No	2080P0216X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Rheumatology	Group - Multi-Specialty
No	2084N0402X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	Group - Multi-Specialty
No	237600000X	Speech, Language and Hearing Service Providers	Audiologist-Hearing Aid Fitter		Group - Multi-Specialty
No	363LP0200X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Pediatrics	Group - Multi-Specialty