Provider Demographics
NPI:1033120464
Name:AUSTIN, JOSEPH LEWIS SR (PHYSICIAN ASSISANT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:LEWIS
Last Name:AUSTIN
Suffix:SR
Gender:M
Credentials:PHYSICIAN ASSISANT
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Mailing Address - Street 1:1901 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-7451
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1901 S 1ST ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7451
Practice Address - Country:US
Practice Address - Phone:254-743-2645
Practice Address - Fax:254-743-0318
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant