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NPI Code Detail

MEDICARE: DR. AUSTIN M WEST MD

MEDICARE: DR. AUSTIN M WEST MD
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
1208000000XPediatrics PhysicianV9174TX

General Provider Information

NPI Number : 1639811250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUSTIN M WEST MD
Provider Business Mailing Address
First Line : 1055 ADA ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-1703
Country : US
Telephone Number : 210-358-5515
Fax Number : 210-358-5530
Provider Business Practice Location Address
First Line : 92 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2036
Country : US
Telephone Number : 407-649-6876
Fax Number : 407-872-0544
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2022
Last Update Date : 05/12/2026

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