Provider Demographics
NPI:1457081119
Name:DOWNTOWN THYROID
Entity Type:Organization
Organization Name:DOWNTOWN THYROID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-887-3187
Mailing Address - Street 1:901 W 9TH ST APT 110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-4610
Mailing Address - Country:US
Mailing Address - Phone:512-887-3187
Mailing Address - Fax:512-887-3197
Practice Address - Street 1:901 W 9TH ST APT 110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-4610
Practice Address - Country:US
Practice Address - Phone:512-887-3187
Practice Address - Fax:512-887-3197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service