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NPI Code Detail

MEDICARE: AUDREY KUANG MD

MEDICARE: AUDREY KUANG 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
1207R00000XInternal Medicine PhysicianA80708CA
2207R00000XInternal Medicine PhysicianR0745TX

General Provider Information

NPI Number : 1881658151
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY KUANG MD
Provider Business Mailing Address
First Line : 1111 E CESAR CHAVEZ ST
Second Line :
City : AUSTIN
State : TX
Zip : 78702-4209
Country : US
Telephone Number : 512-716-7650
Fax Number :
Provider Business Practice Location Address
First Line : 5339 N IH 35 STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78723-2558
Country : US
Telephone Number : 512-978-8130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 05/31/2025

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