Organization
AUXANOMEN A TEXAS NON PROFIT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN KATHLEEN DUBOIS MD (MEDICAL DIRECTOR)
(512) 797-5169
Entity
Organization
Contact information
Practice address
2105 PARKER LN., ASTIN, TX 78741
(512) 797-5169
(512) 383-9225
Mailing address
2105 PARKER LN., AUSTIN, TX 78741
(512) 797-5169
(512) 383-9225
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
H61788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147296102
—
TX
Enumeration date
02/01/2012
Last updated
02/01/2012
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