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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
Update your record

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