Healthcare Provider Details

I. General information

NPI: 1457729733
Provider Name (Legal Business Name): CENTRAL TEXAS SUBSPECIALISTS FOR CHILDREN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2015
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7940 SHOAL CREEK BLVD STE 100
AUSTIN TX
78757-7589
US

IV. Provider business mailing address

6811 AUSTIN CENTER BLVD. SUITE 400
AUSTIN TX
78731
US

V. Phone/Fax

Practice location:
  • Phone: 512-494-4000
  • Fax:
Mailing address:
  • Phone: 512-494-4000
  • Fax: 512-494-4024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberL1353
License Number StateTX

VIII. Authorized Official

Name: KATHERINE STACY LABINER
Title or Position: PHYSICIAN
Credential: MD
Phone: 512-494-4000