Organization
AUCUTT SURGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI AUCUTT PA-C (OWNER)
(407) 415-4160
Entity
Organization
Contact information
Practice address
6705 MELAVA CT, AUSTIN, TX 78749-6924
(407) 415-4160
Mailing address
6705 MELAVA CT, AUSTIN, TX 78749-6924
(407) 415-4160
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA05799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639230816
—
IA
Enumeration date
07/18/2018
Last updated
07/18/2018
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