Dr. Sam B Fason
Oral and Maxillofacial Surgeon
711 W 38th St Suite A-1
Austin
, Texas 78705-1121
Dr. Sam B Fason
Oral and Maxillofacial Surgeon
711 W 38th St Suite A-1
Austin
, Texas 78705-1121
(512) 454-1220
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Sam B Fason
- 711 W 38th St Suite A-1
- Austin, TX
- Zip : 78705-1121
- Phone : (512) 454-1220
Second Address
- Dr. Sam B Fason
- 711 W 38th St Suite A-1
- Austin, TX
- Zip : 78705-1121
- Phone : (512) 454-1220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 7687 | TX |
National Provider Identifier
| NPI | 1093788556 |
|---|---|
| Provider Name | Dr. Sam B Fason |
| First Address | Austin, TX 78705-1121 |
| Second Address | Austin, TX 78705-1121 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2006 |
| Last Update Date | 06/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T13234 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.