NPI 1962097675 · live from the CMS NPI Registry
Madison Austin
Physician Assistant, Medical in Del City, OK. National Provider Identifier 1962097675, active.
NPI record
| NPI | 1962097675 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1221 S Sunnylane Rd, Del City, OK 73115 |
| Practice phone | 405-677-2424 |
| Enumerated | March 4, 2021 |
| Last updated | March 4, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 4500 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.