Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediaq LLC

Organization Primary Care Clinic/Center · NPI 1255885745

Pediaq LLC is a Primary Care Clinic/Center in Austin, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10413 Walpole Ln
Austin, TX 78739-1553
Phone: (310) 713-4847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence AP81285 (TX)

Record details

NPI number1255885745
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Johnson — Medical Director · (214) 984-3900
NPI enumeratedAugust 12, 2016
Last updated in NPPESAugust 12, 2016
Mailing address4849 Greenville Ave Ste 1225, Dallas, TX 75206-4130

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