Individual
EMILY JORDYN KAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1301 W 5TH ST # 100, AUSTIN, TX 78703-5393
(512) 923-1071
Mailing address
1301 W 5TH ST # 100, AUSTIN, TX 78703-5393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1094909
TX
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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