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Individual

THOMAS EDWARD AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4141 QUEEN EMMAS DR, PRINCEVILLE, HI 96722-5541
(808) 652-2262
(808) 652-2262
Mailing address
PO BOX 223764, PRINCEVILLE, HI 96722-3764
(808) 652-2262
(888) 373-9886

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G19445
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10002034
LOVELACE HEALTH/SALUD
NM
05
16725
NM
01
202003000
PRESBYTERIAN HEALTH/SALUD
NM
Enumeration date
01/05/2006
Last updated
03/06/2020
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