Individual
SAM DRAKE FASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 476-7111
Mailing address
8140 N MOPAC EXPY, SUITE 3-210, AUSTIN, TX 78759-8837
(512) 493-9227
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K2688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105114602
—
TX
Enumeration date
03/28/2006
Last updated
06/11/2025
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