Individual
DR. ANTHONY MASARYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
L1128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105338101
—
TX
05
—
105338102
—
TX
01
—
105338103
CSHCN2
TX
01
—
105338104
CSHCN1
TX
01
—
300121666
RRMCARE
—
01
—
300127509
RRMCARE2
—
Enumeration date
06/10/2005
Last updated
12/06/2020
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