Healthcare Provider Details
I. General information
NPI: 1801018809
Provider Name (Legal Business Name): FRANCES AUSTIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/02/2007
Last Update Date: 11/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 E BROAD ST
RICHMOND VA
23298
US
IV. Provider business mailing address
PO BOX 91734
RICHMOND VA
23291-1734
US
V. Phone/Fax
- Phone: 804-828-2467
- Fax: 804-828-0504
- Phone: 804-358-6100
- Fax: 804-342-7619
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 0101256324 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0207X |
| Taxonomy | Pediatric Hematology & Oncology Physician |
| License Number | 0101256324 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: