Provider Demographics
NPI:1417198565
Name:AUSTIN ANESTHESIOLOGY ASSOCIATION
Entity Type:Organization
Organization Name:AUSTIN ANESTHESIOLOGY ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:T
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-349-9100
Mailing Address - Street 1:6818 AUSTIN CENTER BLVD.
Mailing Address - Street 2:SUITE 205
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3100
Mailing Address - Country:US
Mailing Address - Phone:512-349-9100
Mailing Address - Fax:512-349-9133
Practice Address - Street 1:6818 AUSTIN CENTER BLVD.
Practice Address - Street 2:SUITE 205
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3100
Practice Address - Country:US
Practice Address - Phone:512-349-9100
Practice Address - Fax:512-349-9133
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARK T. MALONE, M.D., P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3580207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty