Individual
TIMOTHY AUVENSHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/CSFA
Contact information
Practice address
9009 GREAT HILLS TRL, APT 228, AUSTIN, TX 78759-7187
(970) 819-7825
Mailing address
9009 GREAT HILLS TRL, APT 228, AUSTIN, TX 78759-7187
(970) 819-7825
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/08/2015
Last updated
03/08/2015
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