Individual
DR. TRENT R AUSTIN
Active
Individual
DR. TRENT R AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01048884A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336036
ANTHEM PIN
IN
05
—
200255570
—
IN
01
—
5467340001
DMERC
IN
01
—
743034605
TAX ID
—
Enumeration date
09/27/2005
Last updated
02/20/2015
Update your record
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