Organization
AUGUST PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA G AUGUST MD (PRESIDENT)
(940) 626-8044
Entity
Organization
Contact information
Practice address
2401 S FM 51, SUITE 100, DECATUR, TX 76234-3781
(940) 626-8044
(940) 626-8055
Mailing address
2401 S FM 51, SUITE 100, DECATUR, TX 76234-3781
(940) 626-8044
(940) 626-8055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K7651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024PN
BCBS GROUP
TX
05
—
184194201
—
TX
01
—
184194202
MEDICAID - TEXAS HEALTH STEPS
TX
Enumeration date
06/04/2007
Last updated
06/06/2016
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