MEDICARE: STEVEN E RASMUSSEN 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
1	207N00000X	Dermatology Physician	M3367	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679567937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN E RASMUSSEN MD

Provider Business Mailing Address
First Line	:	6210 E US HWY 290
Second Line	:	STE. 420 - CREDENTIALING
City	:	AUSTIN
State	:	TX
Zip	:	78723
Country	:	US
Telephone Number	:	512-338-3826
Fax Number	:	512-406-6216

Provider Business Practice Location Address
First Line	:	1807 W SLAUGHTER LN STE 490
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-6208
Country	:	US
Telephone Number	:	512-282-8967
Fax Number	:	512-406-7351

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

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	06/05/2020

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Directions to “ STEVEN E RASMUSSEN MD” Practice Location

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