Provider Demographics
NPI:1356508352
Name:STANCUT, EUGEN (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGEN
Middle Name:
Last Name:STANCUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 EAST AVE UNIT 4206
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1195
Mailing Address - Country:US
Mailing Address - Phone:917-572-3584
Mailing Address - Fax:
Practice Address - Street 1:1900 SCENIC DR STE 2208
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7703
Practice Address - Country:US
Practice Address - Phone:512-868-9800
Practice Address - Fax:512-868-9811
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU2018207ND0101X, 207N00000X
AL33208207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology