MEDICARE: JUAN JESUS ANGUIANO ATC, LAT

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	2255A2300X	Athletic Trainer	AT7043	TX

General Provider Information

NPI Number	:	1407363369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN JESUS ANGUIANO ATC, LAT

Provider Business Mailing Address
First Line	:	3715 S 1ST ST APT 440
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-0108
Country	:	US
Telephone Number	:	512-826-1966
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 E 32ND ST STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-2700
Country	:	US
Telephone Number	:	512-826-1966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2018
Last Update Date	:	01/01/2018

Similar Medicare Providers

1538164306 — CHARLES BRUCE MALONE III MD
Practice Location Address:

1015 E 32ND ST , STE 101
AUSTIN, TX
78705-2700

Practice Phone: 512-477-6341
Practice Fax: 512-477-1148

1619071362 — AUSTIN BONE & JOINT CLINIC A PROF A ASSOC
Practice Location Address:

1015 E 32ND ST , STE 101
AUSTIN, TX
78705-2700

Practice Phone: 512-477-6341
Practice Fax: 512-477-1148

1740345065 — AUSTIN BONE & JOINT CLINIC A PROF A ASSOC
Practice Location Address:

1015 E 32ND ST , STE 101
AUSTIN, TX
78705-2700

Practice Phone: 512-477-6341
Practice Fax: 512-477-1148

1538458526 — DR. MATTHEW TYRRELL BURRUS M.D.
Practice Location Address:

1015 E 32ND ST STE 101
AUSTIN, TX
78705-2700

Practice Phone: 512-477-6341
Practice Fax:

1194175182 — DR. LINDSAY RAE HERMSDORFER F.N.P.-C
Practice Location Address:

1015 E 32ND ST STE 203
AUSTIN, TX
78705-2700

Practice Phone: 512-476-5437
Practice Fax:

1316413958 — PEDS CENTER OF ROUND ROCK PA
Practice Location Address:

1015 E 32ND ST STE 203
AUSTIN, TX
78705-2700

Practice Phone: 512-476-5437
Practice Fax: 512-476-0961

Directions to “ JUAN JESUS ANGUIANO ATC, LAT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.