Individual
ANTOINETTE AUSTIN-GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-6085
Mailing address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8859
(512) 493-9237
(512) 343-2745
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01060685
IN
207L00000X
Anesthesiology Physician
C151927
CA
207L00000X
Anesthesiology Physician
Primary
R1169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200526350
—
IN
Enumeration date
06/04/2006
Last updated
10/31/2018
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