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Individual
ANNA M AUGUSTIN
Active
Individual
ANNA M AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
769725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319266YKRY
MEDICARE PTAN
TX
05
—
327568701
—
TX
01
—
8976NA
BCBS
TX
Enumeration date
08/30/2013
Last updated
12/26/2017
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