Provider Demographics
NPI:1942405824
Name:ANNE EPSTEIN, M.D., P.A.
Entity Type:Organization
Organization Name:ANNE EPSTEIN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-442-2297
Mailing Address - Street 1:4007 JAMES CASEY ST
Mailing Address - Street 2:SUITE B210
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-3369
Mailing Address - Country:US
Mailing Address - Phone:512-442-2297
Mailing Address - Fax:512-442-3887
Practice Address - Street 1:4007 JAMES CASEY ST
Practice Address - Street 2:SUITE B210
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3369
Practice Address - Country:US
Practice Address - Phone:512-442-2297
Practice Address - Fax:512-442-3887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5439207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127562001Medicaid
TX00575JMedicare ID - Type Unspecified
TX127562001Medicaid