MEDICARE: DONNA AUGUSTE

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	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1902626997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA AUGUSTE

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9125 HIGHWAY 6 N APT 2326
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2359
Country	:	US
Telephone Number	:	346-454-2247
Fax Number	:

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

Provider Enumeration Date	:	10/14/2024
Last Update Date	:	10/14/2024

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Directions to “ DONNA AUGUSTE ” Practice Location

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