Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 0101029451 | VA |
NPI | 1013916238 |
---|---|
Provider Name | Joseph L. Austin |
First Address | Roanoke, VA 24011-1713 |
Second Address | Roanoke, VA 24014-1728 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 01/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013916238 | (05) | VA |
B08891 | (02) | VA |