Healthcare Provider Details
I. General information
NPI: 1942383609
Provider Name (Legal Business Name): PHILIPPA MARGARET AUGUSTIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/23/2006
Last Update Date: 02/19/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9939 TEXAS HWY 151
SAN ANTONIO TX
78251
US
IV. Provider business mailing address
7400 MERTON MINTER ST
SAN ANTONIO TX
78229-4404
US
V. Phone/Fax
- Phone: 210-949-9702
- Fax: 210-443-0333
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD00046818 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 6321666-1205 |
| License Number State | UT |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | P7880 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: