Provider Demographics
NPI:1912964172
Name:EPSTEIN, ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 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
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH5439207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1275620-01Medicaid
TX070013805OtherRAILROAD MEDICARE
TX0090DTOtherBLUE CROSS/BLUE SHIELD
TX00575JMedicare PIN
TX0090DTOtherBLUE CROSS/BLUE SHIELD