=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730396862
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CLAY A CAUTHEN MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/17/2007
-----------------------------------------------------
Last Update Date | 05/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1301 W 38TH ST SUITE 514
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78705-1000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-681-0500
-----------------------------------------------------
Fax | 512-681-0501
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1400 N IH 35 SUITE 300
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78701-1926
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-324-8300
-----------------------------------------------------
Fax | 512-324-8301
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RA0001X
-----------------------------------------------------
Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
-----------------------------------------------------
License Number | P7256
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------