Healthcare Provider Details

I. General information

NPI: 1447265590
Provider Name (Legal Business Name): PAUL D CAUVIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6835 AUSTIN CENTER BLVD
AUSTIN TX
78731-3166
US

IV. Provider business mailing address

6210 E HIGHWAY 290 STE 420
AUSTIN TX
78723-1142
US

V. Phone/Fax

Practice location:
  • Phone: 512-346-6611
  • Fax: 512-406-6256
Mailing address:
  • Phone: 512-483-9596
  • Fax: 512-406-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberJ1918
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: