MEDICARE: AUSTIN MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1043097116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN MEDICINE

Provider Business Mailing Address
First Line	:	13341 W HWY 290 STE 251
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-9160
Country	:	US
Telephone Number	:	737-400-6010
Fax Number	:

Provider Business Practice Location Address
First Line	:	13341 W HWY 290 STE 251
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-9160
Country	:	US
Telephone Number	:	737-400-6010
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAUREN ASHLEY HUTSON
Credential	:	MD
Telephone Number	:	737-400-6010

Provider Enumeration Date	:	09/12/2023
Last Update Date	:	09/12/2023

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Directions to “AUSTIN MEDICINE ” Practice Location

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