Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | J1616 | TX |
Y | 207RP1001X | Pulmonary Disease | J1616 | TX |
N | 207RS0012X | Sleep Medicine | J1616 | TX |
NPI | 1083609572 |
---|---|
Provider Name | Dr. Joseph Austin JR. |
First Address | Arlington, TX 76014-2075 |
Second Address | Arlington, TX 76012-4758 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2005 |
Last Update Date | 12/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
045750901 | (05) | TX |
E20412 | (02) |