Healthcare Provider Details

I. General information

NPI: 1336114305
Provider Name (Legal Business Name): ANTHONY MARK PROPST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 07/15/2020
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 N MOPAC EXPRESSWAY BLDG 1 SUITE 1200
AUSTIN TX
78731-7873
US

IV. Provider business mailing address

TEXAS FERTILITY CENTER 6500 N MOPAC EXPWY BLDG 1 SUITE 1200
AUSTIN TX
78731-5107
US

V. Phone/Fax

Practice location:
  • Phone: 512-451-0149
  • Fax: 512-451-0977
Mailing address:
  • Phone: 512-451-0149
  • Fax: 512-451-0977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberL1170
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: