Individual
TARA LYNN CUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
100 E DEAN KEETON ST, AUSTIN, TX 78712-1043
(512) 475-6635
(512) 471-0680
Mailing address
PO BOX 7339, AUSTIN, TX 78713-7339
(512) 475-6635
(512) 471-0680
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005021699100502170
—
NV
Enumeration date
03/01/2006
Last updated
03/19/2013
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