Healthcare Provider Details

I. General information

NPI: 1114852266
Provider Name (Legal Business Name): MEDLINK CLINICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALONES DRIVE STE 100
AUSTIN TX
78731
US

IV. Provider business mailing address

5900 BALONES DRIVE STE 100
AUSTIN TX
78731
US

V. Phone/Fax

Practice location:
  • Phone: 386-449-9745
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DAPHNEEE DORVAL
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 386-449-9745