Provider Demographics
NPI:1790958890
Name:SOE AUNG, M.D., P.A.
Entity Type:Organization
Organization Name:SOE AUNG, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOE
Authorized Official - Middle Name:M
Authorized Official - Last Name:AUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-477-5337
Mailing Address - Street 1:14527 RIDGETOP TER
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-1037
Mailing Address - Country:US
Mailing Address - Phone:517-477-5337
Mailing Address - Fax:410-740-1518
Practice Address - Street 1:14527 RIDGETOP TER
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-1037
Practice Address - Country:US
Practice Address - Phone:512-477-5337
Practice Address - Fax:410-740-1518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00635691OtherRAILROAD MEDICARE