Individual
DR. AUSTIN EAGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2082
(210) 358-1972
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-2082
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q7862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358457501
—
TX
01
—
358457502
CSHCN
TX
Enumeration date
04/28/2011
Last updated
07/22/2016
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