Healthcare Provider Details

I. General information

NPI: 1992346316
Provider Name (Legal Business Name): CDI HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2019
Last Update Date: 10/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 W 6TH ST STE 350
AUSTIN TX
78703-4870
US

IV. Provider business mailing address

1717 W 6TH ST STE 350
AUSTIN TX
78703-4870
US

V. Phone/Fax

Practice location:
  • Phone: 512-599-8022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN CATRON
Title or Position: VP, BUSINESS DEVELOPMENT
Credential:
Phone: 512-599-8022