Healthcare Provider Details

I. General information

NPI: 1730396862
Provider Name (Legal Business Name): CLAY A CAUTHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W 38TH ST SUITE 514
AUSTIN TX
78705-1000
US

IV. Provider business mailing address

1400 N IH 35 SUITE 300
AUSTIN TX
78701-1926
US

V. Phone/Fax

Practice location:
  • Phone: 512-681-0500
  • Fax: 512-681-0501
Mailing address:
  • Phone: 512-324-8300
  • Fax: 512-324-8301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberP7256
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: