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NPI Code Detail

MEDICARE: DR. KENNETH A AUSLOOS M. D.

MEDICARE:  DR. KENNETH A AUSLOOS  M. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease PhysicianJ2486TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154322386
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH A AUSLOOS M. D.
Provider Business Mailing Address
First Line : 3600 GASTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-1800
Country : US
Telephone Number : 214-827-0067
Fax Number : 214-827-8840
Provider Business Practice Location Address
First Line : 3600 GASTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-1808
Country : US
Telephone Number : 214-824-8521
Fax Number : 214-827-8840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 03/28/2022

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Directions to “ DR. KENNETH A AUSLOOS M. D.” Practice Location

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