Healthcare Provider Details

I. General information

NPI: 1003435793
Provider Name (Legal Business Name): DANIEL DAVID AUSTIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6799 GREAT OAKS RD STE 200
MEMPHIS TN
38138-2581
US

IV. Provider business mailing address

6799 GREAT OAKS RD STE 200
MEMPHIS TN
38138-2581
US

V. Phone/Fax

Practice location:
  • Phone: 901-259-0090
  • Fax: 901-259-0091
Mailing address:
  • Phone: 901-259-0090
  • Fax: 901-259-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number72158
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: