Individual
ANNA M AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
220 E. HARRIS, SAN ANGELO, TX 76903
(325) 481-2000
(325) 481-2021
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
769725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319266YKRY
MEDICARE PTAN
TX
05
—
327568701
—
TX
01
—
8976NA
BCBS
TX
Enumeration date
08/30/2013
Last updated
12/26/2017
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