Individual
AUGUSTINE U TUDEME JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(615) 887-3126
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(615) 887-3126
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01010101
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
3014637
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010101010
N/A
—
Enumeration date
10/23/2019
Last updated
04/03/2025
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